Individual
DR. MICHAEL S. BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1305 PHYSICIANS DR., WILMINGTON, NC 28401-7352
(910) 762-2618
(910) 763-5173
Mailing address
1305 PHYSICIANS DR., WILMINGTON, NC 28401-7352
(910) 762-2618
(910) 763-5173
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7112
NC
Other
Enumeration date
01/26/2007
Last updated
03/25/2020
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