Individual
SHANNEL BECKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15 FREEMAN AVE, EAST ORANGE, NJ 07018
(973) 813-7263
Mailing address
405 GRIER AVE APT A3, ELIZABETH, NJ 07202-3354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02730800
NJ
Other
Enumeration date
12/03/2018
Last updated
06/30/2019
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