Individual
DR. MAGNOLIA BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1440 23RD ST APT 210, SANTA MONICA, CA 90404-2948
(310) 453-7567
Mailing address
1440 23RD ST APT 210, SANTA MONICA, CA 90404-2948
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
59981
CA
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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