David R Backus DDS

NPI #1194127258 in Orchard Lake, Michigan

Provider Information

NPI Number: 1194127258
Entity Type: Organization
Organization Name: David R Backus DDS
Primary Specialty: Dentist
Enumeration Date: Sep 20, 2014
Last Updated: Sep 20, 2014

Practice Location

Address: 4633 DOW RIDGE RD
City: Orchard Lake
State: Michigan
ZIP Code: 48324-2326
Phone: (248) 683-8188

Authorized Official

Name: DR. DAVID RICHARD BACKUS, DDS
Title: OWNER
Phone: (248) 683-8188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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