Individual
PAMELA B BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 63141-6345
(314) 744-4100
Mailing address
917 COTTAGE CT, ROLLA, MO 65401-3002
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08254
IA
122300000X
Dentist
Primary
2005039588
MO
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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