Individual
MRS. DEBRA JEAN BACKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
413 N. 17TH AVE., WAUSAU, WI 54401-2910
(715) 842-4649
(715) 842-7331
Mailing address
413 N. 17TH AVE., WAUSAU, WI 54401-2910
(715) 842-4649
(715) 842-7331
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3490-16
WI
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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