Organization
SECURE DENTAL II, LLC
Active
Other names
Secure Dental Davenport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAZISH JAFRI (OWNER DENTIST)
(563) 345-8888
Entity
Organization
Contact information
Practice address
5025 UTICA RIDGE RD, SUITE 103, DAVENPORT, IA 52807
(563) 345-8888
Mailing address
3127 N UNIVERSITY ST, PEORIA, IL 61604-1316
(309) 681-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
01/03/2017
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