JONATHAN E BACKER DDS
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1477629046- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DDS
- Status
- Active
Contact & Location
- Address
- 1551 E MAIN ST, COTTAGE GROVE, OR, 974242241
- Phone
- (541) 942-8437
- Fax
- (541) 942-1350
Specialties & Taxonomies
Dentist
License: OR #D7805
Dentist, General Practice
Primary License: OR #D7805