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1245928654
MICHAEL BACKSTRAND
BRONX, NY
NPI
1245928654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-25
Last Update Date
2023-04-25
Business Address
MICHAEL BACKSTRAND DMD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-920-4321
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Mailing Address
MICHAEL BACKSTRAND DMD
429 PALERMO CIR
FORT MYERS BEACH, FL 33931-2726
Phone number: 239-994-5026
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