Individual
JOEL BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
690 N MERIDIAN RD STE 106, KALISPELL, MT 59901
(406) 752-6684
Mailing address
690 N MERIDIAN RD STE 106, KALISPELL, MT 59901-3508
(406) 752-6684
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9618
MT
Other
Enumeration date
06/26/2015
Last updated
05/22/2019
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