| NPI | 1508047804 |
|---|---|
| Doing Business As | STOUT&BOOTH ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | FREDERICK A BOOTH Orthodontist 910-484-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NC 3650) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2008-06-18 |