BARRY BOOTH BOUGHAN

PHOENIX, AZ
NPI1578501144
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  D6553)
Enumeration Date2006-06-03
Last Update Date2007-07-09
Business Address
-- BARRY BOOTH BOUGHAN DDS
1904 W PARKSIDE LN SUITE 201
PHOENIX, AZ 85027-1228
Phone number: 623-434-9343
Mailing Address
-- BARRY BOOTH BOUGHAN DDS
485 S DOBSON RD SUITE 204
CHANDLER, AZ 85224-5602
Phone number: 623-434-9343
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