| Secure Dental V | |
|
504 Riverside Dr East Peoria IL 61611-2068 | |
| (309) 681-8888 | |
| Not Available |
| Full Name | Secure Dental V |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 504 Riverside Dr, East Peoria, Illinois |
| Authorized Official Name and Position | Noel Liu (OWNER DENTIST) |
| Authorized Official Contact | 8156702923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Dental V 309 Brookstone Dr East Peoria IL 61611-8300 Ph: (847) 874-7276 | Secure Dental V 504 Riverside Dr East Peoria IL 61611-2068 Ph: (309) 681-8888 |
| NPI Number | 1629506043 |
|---|---|
| Provider Enumeration Date | 05/30/2017 |
| Last Update Date | 05/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629506043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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