Organization
F.A.BOOTH DDS,MS,PA
Active
Other names
STOUT&BOOTH ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A BOOTH DDS (ORTHODONTIST)
(910) 484-8191
Entity
Organization
Contact information
Practice address
222 FAIRWAY DR, FAYETTEVILLE, NC 28305-5512
(910) 484-8191
(910) 484-0502
Mailing address
222 FAIRWAY DR, FAYETTEVILLE, NC 28305-5512
(910) 484-8191
(910) 484-0502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3650
NC
Other
Enumeration date
11/15/2007
Last updated
06/18/2008
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