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Organization
KEN A BECKERMAN DDS LLC
Active
Organization
KEN A BECKERMAN DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN A BECKERMAN DDS (OWNER)
(812) 385-2750
Entity
Organization
Contact information
Practice address
109 W BROADWAY ST, PRINCETON, IN 47670-1501
(812) 385-2750
Mailing address
304 LOGAN AVE, HAZLETON, IN 47640-8820
(812) 385-2750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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