Organization
EDWIN L. BOOTH, JR., DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL BOOTH (SECRETARY/TREASURER/OFFICE MANAGER)
(336) 282-3400
Entity
Organization
Contact information
Practice address
2100 W CORNWALLIS DR, SUITE Q, GREENSBORO, NC 27408-7036
(336) 282-3400
(336) 282-3292
Mailing address
2100 W CORNWALLIS DR, SUITE Q, GREENSBORO, NC 27408-7036
(336) 282-3400
(336) 282-3292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/30/2007
Last updated
08/30/2007
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