JACK FREDRICK BACKS

HERMANN, MO
NPI1104046556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MO  DE 015082)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Dr. JACK FREDRICK BACKS D.M.D.
154 STATE ROUTE 100 W
HERMANN, MO 65041-1526
Phone number: 573-486-3500
Mailing Address
Dr. JACK FREDRICK BACKS D.M.D.
154 STATE ROUTE 100 W
HERMANN, MO 65041-1526
Phone number: 573-486-3500
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