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Individual

DR. YVONNE E. BECKFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3983 LAVISTA RD, SUITE 181, TUCKER, GA 30084-5153
(770) 939-9293
(770) 939-4716
Mailing address
3983 LAVISTA RD, SUITE 181, TUCKER, GA 30084-5153
(770) 939-9293
(770) 939-4716

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10300
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100705
AVESIS
GA
01
108547
DORAL
GA
01
590789
UNITED CONCORDIA
GA
01
T1000748
WEBMD CORPORATON
GA
Enumeration date
02/28/2007
Last updated
07/09/2007
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