Individual
DR. EDWIN L BOOTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2100 W. CORNWALLIS DR., SUITE Q, GREENSBORO, NC 27408
(336) 282-3400
(336) 282-3292
Mailing address
2100 W. CORNWALLIS DR., SUITE Q, GREENSBORO, NC 27408
(336) 282-3400
(336) 282-3292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4880
NC
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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