| Secure Dental III LLC | |
|
687 E Linton Ave Springfield IL 62703-5902 | |
| (815) 670-2923 | |
| Not Available |
| Full Name | Secure Dental III LLC |
|---|---|
| Speciality | Dentist |
| Location | 687 E Linton Ave, Springfield, Illinois |
| Authorized Official Name and Position | Noel Liu (OWNER- DENTIST) |
| Authorized Official Contact | 8156702923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secure Dental III LLC 11020 N Ruby Ct Dunlap IL 61525-7523 | Secure Dental III LLC 687 E Linton Ave Springfield IL 62703-5902 Ph: (815) 670-2923 |
| NPI Number | 1720470339 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 02/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720470339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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