Individual
DR. NICHOLAS PAUL BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
10 N ALAMOS DR, COTTONWOOD, AZ 86326-4072
(928) 634-2121
Mailing address
10 N ALAMOS DR, COTTONWOOD, AZ 86326-4072
(928) 634-2121
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D009378
AZ
Other
Enumeration date
06/12/2014
Last updated
03/21/2016
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