Organization
THOMAS BACKENSTOSE DMD INC
Active
Other names
Dr. Thomas Backenstose PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C. BACKENSTOSE JR. DMD (PRESIDENT)
(215) 641-0641
Entity
Organization
Contact information
Practice address
901 SUNSET DRIVE, BLUE BELL, PA 19422
(215) 641-0641
Mailing address
901 SUNSET DRIVE, BLUE BELL, PA 19422
(215) 641-0641
(215) 583-5222
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D10848
MN
Other
Enumeration date
07/07/2008
Last updated
11/07/2016
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