Individual
DR. BRIAN GREGORY BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9590 MEDLOCK BRIDGE RD, STE B, DULUTH, GA 30097-5990
(770) 623-1427
(770) 623-1845
Mailing address
9590 MEDLOCK BRIDGE RD, STE B, DULUTH, GA 30097-5990
(770) 623-1427
(770) 623-1845
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9900
GA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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