DR. Gregory John Booth, DDS

NPI #1073827333 in Boise, Idaho

Provider Information

NPI Number: 1073827333
Entity Type: Individual
Name: DR. Gregory John Booth, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 9733 W USTICK RD
City: Boise
State: Idaho
ZIP Code: 83704-5202
Phone: (208) 375-8720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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