Individual
DR. MITCHELL ELI BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4323 HILL STREET, USA DENTAL ACTIVITY, FORT JACKSON, SC 29207-6022
(803) 751-6213
(803) 751-6886
Mailing address
4323 HILL STREET, USA DENTAL ACTIVITY, FORT JACKSON, SC 29207-6022
(803) 751-6213
(803) 751-6886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS039607
PA
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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