Individual
DR. ALEXANDER BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1886 METRO CENTER DR STE 600, RESTON, VA 20190-5299
(703) 318-8200
Mailing address
22581 VERDE GATE TER, BRAMBLETON, VA 20148-6426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417492
VA
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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