Individual
SHELBY ALEXANDRA BACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5925 LEHMAN DR STE 5, COLORADO SPRINGS, CO 80918-3418
(719) 634-0911
Mailing address
5925 LEHMAN DR STE 5, COLORADO SPRINGS, CO 80918-3418
(719) 634-0911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
00204888
CO
Other
Enumeration date
09/02/2021
Last updated
10/06/2021
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