David R Backus Dds | |
4633 Dow Ridge Rd Orchard Lake MI 48324-2326 | |
(248) 683-8188 | |
Not Available |
Full Name | David R Backus Dds |
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Speciality | Dentist |
Location | 4633 Dow Ridge Rd, Orchard Lake, Michigan |
Authorized Official Name and Position | David Richard Backus (OWNER) |
Authorized Official Contact | 2486838188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David R Backus Dds 4633 Dow Ridge Rd Orchard Lake MI 48324-2326 Ph: (248) 683-8188 | David R Backus Dds 4633 Dow Ridge Rd Orchard Lake MI 48324-2326 Ph: (248) 683-8188 |
NPI Number | 1194127258 |
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Provider Enumeration Date | 09/20/2014 |
Last Update Date | 09/20/2014 |
Identifier | Type | State | Issuer |
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1194127258 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 2901012277 (Michigan) | Primary |