| Secure Dental Vi | |
|
3540 N Ashland Ave Chicago IL 60657-1314 | |
| (309) 606-5008 | |
| Not Available |
| Full Name | Secure Dental Vi |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3540 N Ashland Ave, Chicago, Illinois |
| Authorized Official Name and Position | Nazish Hasan Jafri (DENTIST) |
| Authorized Official Contact | 3096818888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Dental Vi 502 Riverside Dr East Peoria IL 61611-2068 Ph: (309) 681-8888 | Secure Dental Vi 3540 N Ashland Ave Chicago IL 60657-1314 Ph: (309) 606-5008 |
| NPI Number | 1811535404 |
|---|---|
| Provider Enumeration Date | 12/15/2019 |
| Last Update Date | 12/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811535404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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