BARRY E BOOTH

HOMER GLEN, IL
NPI1770629065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  021-001302)
Enumeration Date2007-01-30
Last Update Date2007-07-08
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
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