Individual
MS. VICKIE BECENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DENTAL ASSISTANT
Contact information
Practice address
516 EAST NIZHONI BLVD, GALLUP, NM 87301-1337
(505) 722-1560
(505) 722-1565
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1560
(505) 722-1565
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
030433041
NM
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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