Individual
GREGORY M BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13980 N 67TH AVE, #2, GLENDALE, AZ 85306-3715
(623) 979-9454
Mailing address
13980 N 67TH AVE, #2, GLENDALE, AZ 85306-3715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D2890
AZ
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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