Organization
BOOTH ORTHODONTICS PLLC
Active
Organization
BOOTH ORTHODONTICS PLLC
Active
Other names
Verde Valley Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS PAUL BOOTH DMD, MS (OWNER)
(928) 634-2121
Entity
Organization
Contact information
Practice address
10 N ALAMOS DR, COTTONWOOD, AZ 86326-4072
(928) 634-2121
(928) 634-4141
Mailing address
10 N ALAMOS DR, COTTONWOOD, AZ 86326-4072
(928) 634-2121
(928) 634-4141
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D009378
AZ
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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