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1467672410
BRIAN GREGORY BOOTH
DULUTH, GA
NPI
1467672410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA 9900)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. BRIAN GREGORY BOOTH DDS
9590 MEDLOCK BRIDGE RD STE B
DULUTH, GA 30097-5990
Phone number: 770-623-1427
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Mailing Address
Dr. BRIAN GREGORY BOOTH DDS
9590 MEDLOCK BRIDGE RD STE B
DULUTH, GA 30097-5990
Phone number: 770-623-1427
Copy
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