| Secure Dental Iii Llc | |
|
3820 Central Ave # 2324 Lake Station IN 46405-2380 | |
| (219) 962-8666 | |
| Not Available |
| Full Name | Secure Dental Iii Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3820 Central Ave # 2324, Lake Station, Indiana |
| Authorized Official Name and Position | Nazish Hasan Jafri (OWNER DENTIST) |
| Authorized Official Contact | 8157082762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Dental Iii Llc 309 Brookstone Dr East Peoria IL 61611-8300 Ph: (815) 708-2762 | Secure Dental Iii Llc 3820 Central Ave # 2324 Lake Station IN 46405-2380 Ph: (219) 962-8666 |
| NPI Number | 1235733858 |
|---|---|
| Provider Enumeration Date | 11/24/2020 |
| Last Update Date | 11/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235733858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Henry K Pong, Dds, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3820 Central Ave, Lake Station, IN 46405 Phone: 219-962-8666 | |
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