Individual
ROGER DUANE BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3470 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7294
(907) 373-8684
(907) 373-8465
Mailing address
3470 E MERIDIAN PARK LOOP, WASILLA, AK 99654-7294
(907) 373-8684
(907) 373-8465
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
101
AK
1223P0221X
Pediatric Dentistry
Primary
924
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003811
—
AK
Enumeration date
03/24/2007
Last updated
01/14/2014
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