| Kerry A. Booth,d.d.s., Inc | |
|
2990 Jamacha Rd Suite 140 El Cajon CA 92019-4376 | |
| (619) 670-5133 | |
| (619) 670-1492 |
| Full Name | Kerry A. Booth,d.d.s., Inc |
|---|---|
| Speciality | Dentist |
| Location | 2990 Jamacha Rd, El Cajon, California |
| Authorized Official Name and Position | Kerry a Booth (PRESIDENT) |
| Authorized Official Contact | 6196705133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry A. Booth,d.d.s., Inc 2990 Jamacha Rd Suite 140 El Cajon CA 92019-4376 Ph: (619) 670-5133 | Kerry A. Booth,d.d.s., Inc 2990 Jamacha Rd Suite 140 El Cajon CA 92019-4376 Ph: (619) 670-5133 |
| NPI Number | 1154335404 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154335404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 24947 (California) | Primary |
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