Secure Dental V
NPI #1629506043 in East Peoria, Illinois
Provider Information
- NPI Number
- 1629506043
- Entity Type
- Organization
- Organization Name
- Secure Dental V
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 30, 2017
- Last Updated
- May 30, 2017
Practice Location
- Address
- 504 RIVERSIDE DR
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-2068
- Phone
- (309) 681-8888
Authorized Official
- Name
- DR. NOEL LIU, DDS
- Title
- OWNER DENTIST
- Phone
- (815) 670-2923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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