DR. Gilbert Russell Backus JR., DDS

NPI #1063572162 in Boardman, Ohio

Provider Information

NPI Number
1063572162
Entity Type
Individual
Name
DR. Gilbert Russell Backus JR., DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Dec 11, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
810 BOARDMAN CANFIELD RD
State
Ohio
ZIP Code
44512-4200
Phone
(330) 758-7931

Specialties & Taxonomy Codes

Specialty
Dentist

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