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1740768332
MILES BACKSTROM
SALTILLO, MS
NPI
1740768332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3990-18)
Enumeration Date
2018-08-06
Last Update Date
2024-02-21
Business Address
Dr. MILES BACKSTROM
2690 HIGHWAY 145
SALTILLO, MS 38866-6941
Phone number: 662-869-2100
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Mailing Address
Dr. MILES BACKSTROM
726 HIGHLAND PARK DR
TUPELO, MS 38801-8901
Phone number: 662-397-3749
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