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1770629065
BARRY E BOOTH
HOMER GLEN, IL
NPI
1770629065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL 021-001302)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Dr. BARRY E BOOTH D.D.S., M.S.
12635 W 143RD ST
HOMER GLEN, IL 60491-8381
Phone number: 708-301-0005
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Mailing Address
Dr. BARRY E BOOTH D.D.S., M.S.
12635 W 143RD ST
HOMER GLEN, IL 60491-8381
Phone number: 708-301-0005
Copy
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