NPI | 1598231698 |
---|---|
Doing Business As | SECURE DENTAL ROCK ISLAND |
Entity Type | Organization |
Authorized Contact | NAZISH HASAN JAFRI Dentist 309-681-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2018-10-17 |
Last Update Date | 2018-10-17 |