Organization
STACY BECKER, DDS, LLC
Active
Other names
Precision Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY ELAINE BECKER OCHOA D.D.S. (OWNER/MEMBER)
(636) 461-2255
Entity
Organization
Contact information
Practice address
1280 MAIN ST, IMPERIAL, MO 63052-3861
(636) 461-2255
(636) 461-0401
Mailing address
1280 MAIN ST, IMPERIAL, MO 63052-3861
(636) 461-2255
(636) 461-0401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2002011129
MO
Other
Enumeration date
10/20/2006
Last updated
11/13/2012
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