Individual
ANDREA MARIE BOOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 461-6423
Mailing address
1122 N TOPEKA ST, WICHITA, KS 67214-2810
(316) 461-6423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60713
KS
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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