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1174108567
DYLAN P. BOOTH, DDS, PC
PORTLAND, OR
NPI
1174108567
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Entity Type
Organization
Authorized Contact
DYLAN BOOTH
Owner/Dentist
925-786-1221
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2021-03-17
Last Update Date
2021-03-17
Business Address
DYLAN P. BOOTH, DDS, PC
2505 SE HAWTHORNE BLVD
PORTLAND, OR 97214-3926
Phone number: 503-232-3102
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Mailing Address
DYLAN P. BOOTH, DDS, PC
2505 SE HAWTHORNE BLVD
PORTLAND, OR 97214-3926
Phone number:
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