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Individual

DR. DIANA MARIE BACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
100 N CENTRE AVE STE 402, ROCKVILLE CENTRE, NY 11570-6303
(516) 665-1335
Mailing address
100 N CENTRE AVE STE 402, ROCKVILLE CENTRE, NY 11570-6303
(516) 665-1335

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049261
NY

Other

Enumeration date
10/07/2011
Last updated
01/14/2014
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