Individual
MACKENZIE JEAN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 575-4801
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(971) 201-5210
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D160974277
WA
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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