Individual
DR. MELISSA RAY BACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
125 MEDICAL CIR, WEST COLUMBIA, SC 29169-3655
(803) 796-2637
Mailing address
341 LONGWOOD DR, LEXINGTON, SC 29073-8537
(803) 553-8727
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4290
SC
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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