DR. Matthew Gregory Boothe, DDS

NPI #1104239136 in Wasilla, Alaska

Provider Information

NPI Number
1104239136
Entity Type
Individual
Name
DR. Matthew Gregory Boothe, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Jun 6, 2014
Last Updated
Sep 2, 2016

Practice Location

Address
3470 E MERIDIAN PARK LOOP
State
Alaska
ZIP Code
99654-7294
Phone
(907) 373-8684

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - Pediatric DentistryPediatric Dentistry

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