Organization
SECURE DENTAL III LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOEL LIU DDS (OWNER- DENTIST)
(815) 670-2923
Entity
Organization
Contact information
Practice address
687 E LINTON AVE, SPRINGFIELD, IL 62703-5902
(815) 670-2923
Mailing address
11020 N RUBY CT, DUNLAP, IL 61525-7523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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