Individual
WILLIAM DYER BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1227 W MISSOURI ST, BUFFALO, MO 65622-0948
(417) 345-2101
(417) 345-2101
Mailing address
PO BOX 948, 1227 W MISSOURI ST, BUFFALO, MO 65622-0948
(417) 345-2101
(417) 345-2101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO13454
MO
Other
Enumeration date
09/11/2006
Last updated
07/08/2007
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