Organization
DENNIS L. BOOTH. D.C., PLLC
Active
Other names
Fourth Street Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS LEO BOOTH D.C. (OPERATING MANAGER)
(360) 659-2938
Entity
Organization
Contact information
Practice address
1606 4TH ST, SUITE E, MARYSVILLE, WA 98270-5042
(360) 659-2938
(360) 658-0135
Mailing address
1606 4TH ST, SUITE E, MARYSVILLE, WA 98270-5042
(360) 659-2938
(360) 658-0135
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH00002945
WA
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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