Individual
DR. PATRICK GARY BECICKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5047 JASON AVE NE, ALBERTVILLE, MN 55301-9688
(763) 497-8165
(763) 497-8162
Mailing address
5047 JASON AVE NE, ALBERTVILLE, MN 55301-9688
(763) 497-8165
(763) 497-8162
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10974
MN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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