Mary K Booth, DDS

NPI #1629205554 in Decatur, Illinois

Provider Information

NPI Number: 1629205554
Entity Type: Individual
Name: Mary K Booth, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 18, 2009
Last Updated: Aug 9, 2023

Practice Location

Address: 3250 N WOODFORD ST
City: Decatur
State: Illinois
ZIP Code: 62526-2836
Phone: (217) 877-1742

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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