Individual
DR. FREDERICK ALLEN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MSD
Contact information
Practice address
222 FAIRWAY DR, FAYETTEVILLE, NC 28305-5512
(910) 484-8190
(910) 484-0502
Mailing address
222 FAIRWAY DR, FAYETTEVILLE, NC 28305-5512
(910) 484-8190
(910) 484-0502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3650
NC
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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