THOMAS EVAN BACKERIS

MAYWOOD, IL
NPI1417497850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  1223S0112X)
Enumeration Date2017-03-05
Last Update Date2017-03-05
Business Address
-- THOMAS EVAN BACKERIS DMD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-327-3041
Mailing Address
-- THOMAS EVAN BACKERIS DMD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-327-3041
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