| NPI | 1043374176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GERARD BECKER Owner Partner Dentist 507-282-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MN MN9567) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |