MICHAEL BACKSTRAND

BRONX, NY
NPI1245928654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-25
Last Update Date2023-04-25
Business Address
MICHAEL BACKSTRAND DMD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
Mailing Address
MICHAEL BACKSTRAND DMD
429 PALERMO CIR
FORT MYERS BEACH, FL 33931-2726
Phone number: 239-994-5026