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Organization
DYLAN P. BOOTH, DDS, PC
Active
Organization
DYLAN P. BOOTH, DDS, PC
Active
Other names
Friendly Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN BOOTH DDS (OWNER/DENTIST)
(925) 786-1221
Entity
Organization
Contact information
Practice address
2505 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3926
(503) 232-3102
Mailing address
2505 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3926
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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