David R Backus Dds

NPI 1194127258 - Dentist - 122300000X

NPI Details
NPI 1194127258
Enumeration Date 09/20/2014
Last Updated 09/20/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID RICHARD DAVID
Position OWNER
Phone (248) 683-8188
Fax
Practice Location
4633 DOW RIDGE RD
ORCHARD LAKE MI, 48324-2326, US
Phone (248) 683-8188
Fax
Business Location
4633 DOW RIDGE RD
ORCHARD LAKE MI, 48324-2326, US
Phone (248) 683-8188
Fax
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 2901012277
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According to our database, David R Backus Dds NPI is 1194127258, taxonomy code is 122300000X and license number is 2901012277, license state is located at Michigan. David R Backus Dds physically located at 4633 Dow Ridge Rd, Orchard Lake MI, 48324-2326. NPI Number 1033115704 has the healthcare provider type.

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1194127258 NPI number is provided on an as is basis without warranty of any kind. 1194127258 is maintained by the National Plan & Provider Enumeration System. The contents of David R Backus Dds are for informational purposes only.