Secure Dental II

NPI #1992048912 in Moline, Illinois

Provider Information

NPI Number
1992048912
Entity Type
Organization
Organization Name
Secure Dental II
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 27, 2013
Last Updated
Mar 27, 2013

Practice Location

Address
4601 16TH ST
Address 2
UNIT 12
City
Moline
ZIP Code
61265-7000
Phone
(815) 708-2762

Authorized Official

Name
DR. NAZISH HASAN JAFRI, DDS
Title
DENTIST
Phone
(815) 708-2762

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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