Organization
BECK DENTAL PLLC
Active
Other names
Revere Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BECK DMD (OWNER)
(630) 805-1687
Entity
Organization
Contact information
Practice address
588 WILLIAM R LATHAM SR DR STE 2, BOURBONNAIS, IL 60914-2340
(815) 933-6100
Mailing address
588 WILLIAM R LATHAM SR DR STE 2, BOURBONNAIS, IL 60914-2340
(815) 933-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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