| Edwin L. Booth, Jr., Dds, Pa | |
|
2100 W Cornwallis Dr Suite Q Greensboro NC 27408-7036 | |
| (336) 282-3400 | |
| (336) 282-3292 |
| Full Name | Edwin L. Booth, Jr., Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 2100 W Cornwallis Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Jill Booth (SECRETARY/TREASURER/OFFICE MANAGER) |
| Authorized Official Contact | 3362823400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin L. Booth, Jr., Dds, Pa 2100 W Cornwallis Dr Suite Q Greensboro NC 27408-7036 Ph: (336) 282-3400 | Edwin L. Booth, Jr., Dds, Pa 2100 W Cornwallis Dr Suite Q Greensboro NC 27408-7036 Ph: (336) 282-3400 |
| NPI Number | 1821282039 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821282039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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