Michale Lee Boothe, DDS

NPI #1629077441 in Anchorage, Alaska

Provider Information

NPI Number
1629077441
Entity Type
Individual
Name
Michale Lee Boothe, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jul 14, 2005
Last Updated
Aug 29, 2007

Practice Location

Address
121 W FIREWEED LN
Address 2
SUITE 200
State
Alaska
ZIP Code
99503-2053
Phone
(907) 276-5522

Specialties & Taxonomy Codes

Specialty
Dentist

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