Individual
DR. C. MICHAEL BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5605 LA VETA DR, FARMINGTON, NM 87402-4911
(505) 325-8977
Mailing address
5605 LA VETA DR, FARMINGTON, NM 87402-4911
(505) 325-8977
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD1543
NM
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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