Secure Dental LLC

NPI #1154607422 in Peoria, Illinois

Provider Information

NPI Number: 1154607422
Entity Type: Organization
Organization Name: Secure Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 31, 2011
Last Updated: Jan 27, 2012

Practice Location

Address: 3127 N. UNIVERSITY ST.
City: Peoria
State: Illinois
ZIP Code: 61604
Phone: (309) 681-8888

Authorized Official

Name: DR. NOEL LIU, D.D.S
Title: MEMBER
Phone: (815) 670-2923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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