Organization
BECK DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G BECK D.D.S. (PRESIDENT)
(909) 946-3836
Entity
Organization
Contact information
Practice address
645 W FOOTHILL BLVD, UPLAND, CA 91786-3859
(909) 946-3836
Mailing address
645 W FOOTHILL BLVD, UPLAND, CA 91786-3859
(909) 946-3836
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40916
CA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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