Organization
BARRY FRANK BOOTH DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY FRANK BOOTH DMD (DENTIST)
(251) 654-1563
Entity
Organization
Contact information
Practice address
6475 SPANISH FORT BLVD, SUITE H, SPANISH FORT, AL 36527-9406
(251) 654-1563
(251) 625-0211
Mailing address
PO BOX 7700, SPANISH FORT, AL 36577-7700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5269
AL
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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