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Individual

JOHN MICHAEL BECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1463 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
(859) 781-4000
(859) 781-4104
Mailing address
1463 S FORT THOMAS AVE, FORT THOMAS, KY 41075-2453
(859) 781-4000
(859) 781-4104

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6030
KY

Other

Enumeration date
06/07/2007
Last updated
07/08/2007
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