Dominique Backus Llc

NPI 1093816837 - Dentist - 1223X0400X

NPI Details
NPI 1093816837
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOMINIQUE VIDRINE DOMINIQUE
Position ORTHODONTIST
Phone (205) 879-0557
Fax (205) 879-6611
Practice Location
3507 OLD MONTGOMERY HWY
BIRMINGHAM AL, 35209, US
Phone (205) 879-0557
Fax (205) 879-6611
Business Location
3507 OLD MONTGOMERY HWY
BIRMINGHAM AL, 35209, US
Phone (205) 879-0557
Fax (205) 879-6611
Toxanomy
Taxonomy Code 1223X0400X
License State Alabama
License Number 5065
Remove 1093816837 NPI Number
 

According to our database, Dominique Backus Llc NPI is 1093816837, taxonomy code is 1223X0400X and license number is 5065, license state is located at Alabama. Dominique Backus Llc physically located at 3507 Old Montgomery Hwy, Birmingham AL, 35209. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1093816837 NPI number is provided on an as is basis without warranty of any kind. 1093816837 is maintained by the National Plan & Provider Enumeration System. The contents of Dominique Backus Llc are for informational purposes only.