Individual
DEBORAH M BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
850 W HAPPY CANYON RD, CASTLE ROCK, CO 80108-3908
(303) 688-5705
Mailing address
2320 BROADLEAF LOOP, CASTLE ROCK, CO 80109-3620
(719) 237-6548
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
905225
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
905225
DENTAL HYGIENIST LICENSE
CO
Enumeration date
06/12/2017
Last updated
07/21/2022
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