Individual
DR. BRODY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
207 1ST ST S, NAMPA, ID 83651-3703
(208) 446-6786
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5289
ID
Other
Enumeration date
07/03/2018
Last updated
06/28/2021
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