ELIZABETH BACKUS
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1760051510- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1661 SISKIYOU BLVD, ASHLAND, OR, 975202470
- Phone
- (458) 246-1498
Specialties & Taxonomies
Dentist, General Practice
License: UT #12328611-9923
Dentist, General Practice
License: CO #DEN.00205221
Dentist, General Practice
Primary License: OR #D12171