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Beck Dental Group, INC.

Dentist, General Practice in Upland, CA. Organization (NPI-2).

NPI number1043667546
StatusActive
Last updated in NPPESMay 16, 2016

Details

NPI
1043667546
Entity type
Organization (NPI-2)
Legal business name
Beck Dental Group, INC.
Organization subpart
No
Enumeration date
May 16, 2016
Last updated
May 16, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice40916CAYes

Practice location

645 W Foothill Blvd
Upland, CA 91786-3859

Phone 909-946-3836

Mailing address

645 W Foothill Blvd
Upland, CA 91786-3859

Phone 909-946-3836

Authorized official

David G Beck
President
9099463836

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