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Organization

BECKLEY GENERAL DENTISTRY, PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELISA RAQUEL BECKLEY BECKLEY (PRESIDENT)
(909) 262-8416
Entity
Organization

Contact information

Practice address
6850 BROCKTON AVE STE 110, RIVERSIDE, CA 92506-3814
(951) 683-6221
Mailing address
30627 MISSION ST, HIGHLAND, CA 92346-6343
(909) 262-8416
(909) 262-8416

Taxonomy

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

Other

Enumeration date
04/07/2026
Last updated
04/07/2026
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