Individual
DR. BARRY BACKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
465 WATERBURY CT, STE B, GAHANNA, OH 43230-5312
(614) 476-5300
(614) 476-5593
Mailing address
465 WATERBURY CT, STE B, GAHANNA, OH 43230
(614) 476-5300
(614) 476-5593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18338
OH
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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