Individual
JONATHAN AVERY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 W 11TH STREET, SILVER CITY, NM 88061-5136
(575) 388-1511
Mailing address
530 DEMOSS STREET, LORDSBURG, NM 88045-2618
(575) 542-8384
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD3675
NM
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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