Individual
DR. MICHAEL JOHN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
32560 UTICA RD, FRASER, MI 48026-2215
(586) 293-8530
(586) 293-6539
Mailing address
32560 UTICA RD, FRASER, MI 48026-2215
(586) 293-8530
(586) 293-6539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13125
MI
Other
Enumeration date
01/08/2006
Last updated
08/10/2016
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