Individual
DR. THOMAS C. BACKENSTOSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7 N COLUMBUS BLVD APT 238, PHILADELPHIA, PA 19106-1421
(612) 802-4697
(215) 583-5222
Mailing address
7 N COLUMBUS BLVD APT 238, PHILADELPHIA, PA 19106-1421
(612) 802-4697
(215) 583-5222
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D10848
MN
Other
Enumeration date
11/29/2005
Last updated
02/28/2023
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