| Secure Dental Ii | |
|
4601 16th St Unit 12 Moline IL 61265-7000 | |
| (815) 708-2762 | |
| Not Available |
| Full Name | Secure Dental Ii |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4601 16th St, Moline, Illinois |
| Authorized Official Name and Position | Nazish Hasan Jafri (DENTIST) |
| Authorized Official Contact | 8157082762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Dental Ii 1695 Divine Dr Rockford IL 61107-5417 Ph: (815) 708-2762 | Secure Dental Ii 4601 16th St Unit 12 Moline IL 61265-7000 Ph: (815) 708-2762 |
| NPI Number | 1992048912 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992048912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028807 (Illinois) | Primary |
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