NPI | 1306602875 |
---|---|
Doing Business As | RITTER & BACKSTROM DENTISTRY |
Entity Type | Organization |
Authorized Contact | MILES ARTHUR BACKSTROM Owner 662-397-3749 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-02-22 |
Last Update Date | 2024-02-22 |