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DR. STEPHEN LANE BECKETT DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1205044641

Individual Registrant:
DR. STEPHEN LANE BECKETT DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
700 ZEAGLER DRIVE SUITE 11 PALATKA, FL 32177 US
Tel: 386-328-8337  Fax: 386-328-2366

Contact information for business:
700 ZEAGLER DRIVE SUITE 11 PALATKA, FL 32177 US
Tel: 386-328-8337  Fax: 386-328-2366

Registration Information:
NPI: 1205044641
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
FL5629

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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