Individual
DR. MATTHEW J BACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4315 DIPLOMACY DR, ANCHORAGE, AK 99508-5926
(907) 563-2662
Mailing address
49 OLD BUDDHA RD, BEDFORD, IN 47421-7747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012012A
IN
Other
Enumeration date
06/26/2013
Last updated
02/26/2019
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