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NATHAN LUTERU BECK DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1306364112

Individual Registrant:
 NATHAN LUTERU BECK DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
625 KEOUGH ST  BISHOP, CA 93514-2533 US
Tel: (76-0) -258-7524  Fax: --

Contact information for business:
625 KEOUGH ST  BISHOP, CA 93514-2533 US
Tel: 760-258-7524  Fax: --

Registration Information:
NPI: 1306364112
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA64618

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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