Organization
12TH STREET DENTAL OFFICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GERARD BECKER DDS (OWNER PARTNER DENTIST)
(507) 282-6448
Entity
Organization
Contact information
Practice address
1008 12TH STREET SE, ROCHESTER, MN 55904-5030
(507) 282-6448
(507) 287-8846
Mailing address
1008 12TH STREET SE, ROCHESTER, MN 55904-5030
(507) 282-6448
(507) 287-8846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MN9567
MN
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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