Individual
DR. PAUL CLINTON BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1121 TOWN CENTRE DR STE 200, EAGAN, MN 55123-1217
(651) 454-4771
Mailing address
2725 WHITE OAK CIR, LONG LAKE, MN 55356-9747
(952) 473-2391
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9788
MN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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