Jacob Daniel Beckstrand, DDS Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Kingman, AZ

NPI

1891415147

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

D011509 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2022-08-29

Last updated

2022-08-29