DR. Janica Joli Gillette-Backstrom, R.D.H., D.D.S

NPI #1801234489 in Fountain, Colorado

Provider Information

NPI Number
1801234489
Entity Type
Individual
Name
DR. Janica Joli Gillette-Backstrom, R.D.H., D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
R.D.H., D.D.S
Enumeration Date
Jun 5, 2013
Last Updated
Aug 6, 2019

Practice Location

Address
6940 MESA RIDGE PARKWAY
ZIP Code
80817
Phone
(719) 382-4936

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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