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1194127258
DAVID R BACKUS DDS
ORCHARD LAKE, MI
NPI
1194127258
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Entity Type
Organization
Authorized Contact
DAVID RICHARD BACKUS
Owner
248-683-8188
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901012277)
Enumeration Date
2014-09-20
Last Update Date
2014-09-20
Business Address
DAVID R BACKUS DDS
4633 DOW RIDGE RD
ORCHARD LAKE, MI 48324-2326
Phone number: 248-683-8188
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Mailing Address
DAVID R BACKUS DDS
4633 DOW RIDGE RD
ORCHARD LAKE, MI 48324-2326
Phone number: 248-683-8188
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