Individual
DR. ISAAC JOSEPH BOOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2385 TIMBER DR, GARNER, NC 27529-2586
(919) 772-1434
Mailing address
6606 MEZZO LN, RALEIGH, NC 27616-1995
(252) 227-8777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12283
NC
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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