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Individual

DR. BRICE WILLIAM BECKSTROM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
1091 N BLUFF ST, SUITE 550, ST GEORGE, UT 84770-4894
(435) 628-6200
(435) 652-9051
Mailing address
1091 N BLUFF ST, SUITE 550, ST GEORGE, UT 84770-4894
(435) 628-6200
(435) 652-9051

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5898951-9921
UT

Other

Enumeration date
01/03/2007
Last updated
07/08/2007
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