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Organization
HOWARD D BOOTH JR DDS
Active
Organization
HOWARD D BOOTH JR DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD DOUGLAS BOOTH D.D.S. (OWNER)
(478) 471-8103
Entity
Organization
Contact information
Practice address
250 CHARTER LN, SUITE G2, MACON, GA 31210-4594
(478) 471-8103
(478) 471-9186
Mailing address
250 CHARTER LN, SUITE G2, MACON, GA 31210-4594
(478) 471-8103
(478) 471-9186
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8838
GA
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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