NPI 1629866520

Mackenzie Jean Becker

Practitioner Dental Assistant Longview, WA

Practice location

Address: 1230 7th Ave, Longview, WA 98632-3166
Phone: (360) 575-4801

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence D160974277 (WA)

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Registry record

NPI: 1629866520
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Apr 2025
Record last updated: 29 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.