Thomas Backenstose
NPI #1225196330 in Faribault, Minnesota
Provider Information
- NPI Number
- 1225196330
- Entity Type
- Organization
- Organization Name
- Thomas Backenstose
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- ANNE MEYER
- Title
- OFFICE MANAGER
- Phone
- (507) 332-7608
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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