Individual
DR. JASON BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
15294 W BROOKSIDE LN, STE 100, SURPRISE, AZ 85374-3999
(623) 376-7400
(623) 376-7489
Mailing address
15294 W BROOKSIDE LN, STE 100, SURPRISE, AZ 85374-3999
(623) 376-7400
(623) 376-7489
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5542
AZ
Other
Enumeration date
07/24/2006
Last updated
09/07/2007
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