Individual
THOMAS A BECI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
129 KENOSHA ST, WALWORTH, WI 53184-9642
(262) 275-2333
Mailing address
PO BOX 366, 125 PRAIRIE DR, WALWORTH, WI 53184-0366
(262) 275-2541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001724015
WI
Other
Enumeration date
10/03/2005
Last updated
07/08/2007
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