Organization
SECURE DENTAL VI
Active
Other names
Secure Dental Schererville
Organization subpart
No
Provider details
NPI number
Authorized official
NAZISH HASAN JAFRI DDS (OWNER DENTIST)
(815) 708-2762
Entity
Organization
Contact information
Practice address
1945 HARDER CT, SCHERERVILLE, IN 46375-1795
(708) 895-6189
Mailing address
502 RIVERSIDE DR, EAST PEORIA, IL 61611-2068
(309) 606-5008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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