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Dominique Backus, L.L.C.

Details

Name: Dominique Backus, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 22 Jul 2002 (22 years ago) (Companies founded in July 2002)
Entity Number: 000-683-562
Register Number: 000683562
ZIP code: 35226 (Companies in Jefferson, 35226)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1611 MOUNTAIN GAP CIRCLEBIRMINGHAM, AL 35226

Activities ASSET MANAGEMENT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093816837 2006-09-26 2020-08-22 3507 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, US 3507 OLD MONTGOMERY HWY, BIRMINGHAM, AL, 35209, US

Contacts

Phone +1 205-879-0557
Fax 2058796611

Authorized person

Name DR. DOMINIQUE VIDRINE BACKUS
Role ORTHODONTIST
Phone 2058790557

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 5065
State AL
Is Primary Yes

Agent

Name Role
BACKUS, DOMINIQUE Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State