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Organization

BRIAN L. BECKSTROM P.C.

Active
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Organization

BRIAN L. BECKSTROM P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN BECKSTROM DDS, MSD (PRESIDENT/ORTHODONTIST)
(435) 628-6200
Entity
Organization

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
93667439921
UT

Other

Enumeration date
04/14/2017
Last updated
04/14/2017
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