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1235205006
VERNON LARRY BOOTH
CHARLOTTE, NC
NPI
1235205006
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NC 4171)
Enumeration Date
2006-11-25
Last Update Date
2007-07-08
Business Address
Dr. VERNON LARRY BOOTH D.D.S.
3515 RANDOLPH RD
CHARLOTTE, NC 28211-1032
Phone number: 704-366-3622
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Mailing Address
Dr. VERNON LARRY BOOTH D.D.S.
3515 RANDOLPH RD
CHARLOTTE, NC 28211-1032
Phone number: 704-366-3622
Copy
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