Individual
KATHERINE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1218 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1808
(706) 860-0518
Mailing address
680 CRANE CREEK DR, APT 434, AUGUSTA, GA 30907-3075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015009
GA
Other
Enumeration date
07/06/2015
Last updated
08/10/2016
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