Individual
DR. ANDREW DAVID BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
118 STATE ST N, WASECA, MN 56093-2929
(507) 835-4280
Mailing address
2211 SWALLOW LN, BUFFALO, MN 55313-6603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13210
MN
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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