| Secure Dental Vi | |
|
106 16th St Unit #90 Moline IL 61265 | |
| (309) 797-0888 | |
| Not Available |
| Full Name | Secure Dental Vi |
|---|---|
| Speciality | Dentist |
| Location | 106 16th St, Moline, 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: () - | Secure Dental Vi 106 16th St Unit #90 Moline IL 61265 Ph: (309) 797-0888 |
| NPI Number | 1598231698 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598231698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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