Individual
BREANNA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8894 STANFORD BLVD STE 200, COLUMBIA, MD 21045-5162
(410) 730-4674
Mailing address
8894 STANFORD BLVD STE 200, COLUMBIA, MD 21045-5162
(410) 730-4674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18130
MD
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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