Clayton Booth, DDS

NPI #1518696806 in Jbsa-Lackland, Texas

Provider Information

NPI Number
1518696806
Entity Type
Individual
Name
Clayton Booth, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 10, 2022
Last Updated
Aug 22, 2023

Practice Location

Address
59 DG-AF POSTGRADUATE DENTAL SCHOOL
Address 2
2133 PEPPERRELL ST, BLDG 3352
State
Texas
ZIP Code
78236-5313
Phone
(210) 292-6258

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Student in an Organized Health Care Education/Training Program
Dentist

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