Individual
DR. MICHELLE M BACKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
176 SUMMERHILL RD, EAST BRUNSWICK, NJ 08816-4908
(732) 257-5588
(732) 257-9189
Mailing address
176 SUMMERHILL RD, EAST BRUNSWICK, NJ 08816-4908
(732) 257-5588
(732) 257-9189
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
22DI02292000
NJ
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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