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1417497850
THOMAS EVAN BACKERIS
MAYWOOD, IL
NPI
1417497850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: IL 1223S0112X)
Enumeration Date
2017-03-05
Last Update Date
2017-03-05
Business Address
THOMAS EVAN BACKERIS DMD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-327-3041
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Mailing Address
THOMAS EVAN BACKERIS DMD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-327-3041
Copy
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