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1902017049
GARY WAYNE BACKER
HUNTSVILLE, AL
NPI
1902017049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AL 3375)
Enumeration Date
2007-05-24
Last Update Date
2007-07-08
Business Address
Dr. GARY WAYNE BACKER D.M.D.
4004 BALMORAL DR SW
HUNTSVILLE, AL 35801-6402
Phone number: 256-883-0030
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Mailing Address
Dr. GARY WAYNE BACKER D.M.D.
4004 BALMORAL DR SW
HUNTSVILLE, AL 35801-6402
Phone number: 256-883-0030
Copy
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