Organization
JACK L. BOONE, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LEE BOONE DDS (DDS)
(252) 426-5585
Entity
Organization
Contact information
Practice address
212 AINSLEY AVE, HERTFORD, NC 27944-1400
(252) 426-5585
(252) 426-5766
Mailing address
212 AINSLEY AVE, HERTFORD, NC 27944-1400
(252) 426-5585
(252) 426-5766
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3868
NC
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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