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Secure Dental V
Dental Clinic/Center in East Peoria, Illinois
NPI 1629506043

Secure Dental V is a Dental Clinic/Center based in East Peoria, IL and is specialized in Dental. Secure Dental V practices in East Peoria, IL. The NPI Number for Secure Dental V is 1629506043 and holds a License No. (Illinois).

The current practice location address for Secure Dental V is 504 Riverside Dr, East Peoria, IL and can be reached out via phone at 309-681-8888.

Location: 504 Riverside Dr, East Peoria, IL, 61611-8300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629506043
Provider Name
Secure Dental V
Credential
Provider Entity Type
Organization
Address
504 Riverside Dr, East Peoria, IL, 61611-8300
Phone Number
309-681-8888
Fax Number
Provider Enumeration Date
05/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
504 Riverside Dr
City
East Peoria
State
Illinois
Zip
61611-2068
Phone Number
309-681-8888
Fax Number
person
Provider Business Mailing Address Details
Address
504 Riverside Dr
City
East Peoria
State
Illinois
Zip
61611-2068
Phone Number
309-681-8888
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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