Individual
DR. CRAIG EDWARD BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
34 LAVELLE LANE, UNALASKA, AK 99685-0061
(907) 581-1202
(907) 581-2331
Mailing address
PO BOX 61, UNALASKA, AK 99685-0061
(907) 581-1202
(907) 581-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1128
AK
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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