Dominique Backus

NPI 1689817546 - Dentist - 1223X0400X

NPI Details
NPI 1689817546
Gender Female
Enumeration Date 04/08/2009
Last Updated 04/08/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3507 OLD MONTGOMERY HWY
BIRMINGHAM AL, 35209-5751, US
Phone (205) 879-0557
Fax
Business Location
3507 OLD MONTGOMERY HWY
BIRMINGHAM AL, 35209-5751, US
Phone (205) 879-0557
Fax
Toxanomy
Taxonomy Code 1223X0400X
License State Alabama
License Number 5065
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According to our database, Dr. Dominique Backus NPI is 1689817546, taxonomy code is 1223X0400X and license number is 5065, license state is located at Alabama. Dominique Backus physically located at 3507 Old Montgomery Hwy, Birmingham AL, 35209-5751. NPI Number Dominique Backus has the Individual type.

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1689817546 NPI number is provided on an as is basis without warranty of any kind. 1689817546 is maintained by the National Plan & Provider Enumeration System. The contents of Dominique Backus are for informational purposes only.