| NPI | 1659734028 |
|---|---|
| Doing Business As | BECKHAM DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T BECKHAM Owner 480-214-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: AZ 7554460001) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AZ D02763) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2017-03-08 |