GREGORY JOHN BOOTH

BOISE, ID
NPI1073827333
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-4300)
Enumeration Date2010-07-28
Last Update Date2010-07-28
Business Address
Dr. GREGORY JOHN BOOTH DDS
9733 W USTICK RD
BOISE, ID 83704-5202
Phone number: 208-375-8720
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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