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Janica Gillette-Backstrom, R.D.H., D.D.S

NPI 1801234489 · on the registry since 2013

Practice

Address
6940 Mesa Ridge Parkway
Fountain, CO 80817
Phone
(719) 382-4936
Fax
(719) 382-4938
Clinicians at this address
10

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
1223G0001X
Licence states on file
ID, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado