Individual
DR. AMANDA KAYE BACKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4041 ALHAMBRA AVE STE 109, MARTINEZ, CA 94553-3827
(925) 370-9900
Mailing address
4041 ALHAMBRA AVE STE 109, MARTINEZ, CA 94553-3827
(925) 370-9900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55898
CA
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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