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1689817546
DOMINIQUE BACKUS
BIRMINGHAM, AL
NPI
1689817546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: AL 5065)
Enumeration Date
2009-04-08
Last Update Date
2009-04-08
Business Address
Dr. DOMINIQUE BACKUS
3507 OLD MONTGOMERY HWY
BIRMINGHAM, AL 35209-5751
Phone number: 205-879-0557
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Mailing Address
Dr. DOMINIQUE BACKUS
3507 OLD MONTGOMERY HWY
BIRMINGHAM, AL 35209-5751
Phone number: 205-879-0557
Copy
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