Individual
DR. REGINALD DOUGLAS BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4005 WINDER HWY, #100, FLOWERY BRANCH, GA 30542-6564
(770) 531-3232
Mailing address
4005 WINDER HWY, STE. 110, FLOWERY BRANCH, GA 30542-6564
(770) 531-3232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013464
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813355373A
—
GA
Enumeration date
06/21/2006
Last updated
03/31/2014
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