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1881608347
JENIFER C BACK
SARASOTA, FL
NPI
1881608347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 14169)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. JENIFER C BACK DMD
3800 CLARK RD
SARASOTA, FL 34233-2361
Phone number: 941-927-5411
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Mailing Address
Dr. JENIFER C BACK DMD
3800 CLARK RD
SARASOTA, FL 34233-2361
Phone number: 941-927-5411
Copy
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