Individual
DR. DENNIS JOSEPH BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.SC.
Contact information
Practice address
4420 CONLIN ST, SUITE 202, METAIRIE, LA 70006-2167
(504) 454-6555
(504) 454-6555
Mailing address
4420 CONLIN ST, SUITE 202, METAIRIE, LA 70006-2167
(504) 454-6555
(504) 454-6555
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2191
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
537804
OCUPATIONAL LICENSE TAX
LA
Enumeration date
03/21/2011
Last updated
03/21/2011
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