Secure Dental Vi

NPI #1598231698 in Moline, Illinois

Provider Information

NPI Number: 1598231698
Entity Type: Organization
Organization Name: Secure Dental Vi
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2018
Last Updated: Oct 17, 2018

Practice Location

Address: 106 16TH ST
Address 2: UNIT #90
City: Moline
State: Illinois
ZIP Code: 61265
Phone: (309) 797-0888

Authorized Official

Name: NAZISH HASAN JAFRI
Title: DENTIST
Phone: (309) 681-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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