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1073827333
GREGORY JOHN BOOTH
BOISE, ID
NPI
1073827333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: ID D-4300)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
DR. GREGORY JOHN BOOTH DDS
9733 W USTICK RD
BOISE, ID 83704-5202
Phone number: 208-375-8720
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Mailing Address
DR. GREGORY JOHN BOOTH DDS
572 E KAIBAB TRAIL DR
MERIDIAN, ID 83646-3777
Phone number: 208-631-8244
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