Organization
ALBERTVILLE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK GARY BECICKA DDS (DOCTOR / OWNER)
(763) 497-8165
Entity
Organization
Contact information
Practice address
5047 JASON AVE NE, ALBERTVILLE, MN 55301-9688
(763) 497-8165
(763) 497-8162
Mailing address
5047 JASON AVE NE, ALBERTVILLE, MN 55301-9688
(763) 497-8165
(763) 497-8162
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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