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Organization

MICHELE ROGERS BECK D.M.D. P.S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELE ROGERS BECK D.M.D. (DENTIST)
(859) 261-5852
Entity
Organization

Contact information

Practice address
640 SCOTT ST, COVINGTON, KY 41011-2416
(859) 261-5852
(859) 261-5853
Mailing address
640 SCOTT ST, COVINGTON, KY 41011-2416
(859) 261-5852
(859) 261-5853

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7746
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1649332503
INDIVIDUAL NPI
KY
05
60001815
KY
Enumeration date
10/25/2011
Last updated
10/25/2011
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