Individual
JASON THOMAS BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
7030 SANGER AVE STE 100, WACO, TX 76712
(254) 751-1171
Mailing address
7030 SANGER AVE STE 100, WACO, TX 76712
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22020
TX
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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