Individual
BARRY LEE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6525 SPANISH FORT BLVD, SPANISH FORT, AL 36527
(251) 626-3211
(251) 625-0211
Mailing address
PO BOX 7406, SPANISH FORT, AL 36577-7406
(251) 626-3211
(251) 625-0211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2701
AL
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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