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Individual

MICHAEL DAMIAN BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
119 TOPFIELD RD, LOUISVILLE, KY 40229-4462
(502) 957-4408
Mailing address
11518 SARATOGA CLUB RD, LOUISVILLE, KY 40299-4374
(502) 648-2495

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401411263
VA
122300000X
Dentist
Primary
8569
KY

Other

Enumeration date
02/06/2006
Last updated
01/17/2013
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