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DR. BARRY FRANK BOOTH DMD

>> Dentist >> Dental Providers

Registrant NPI Number: 1508828732

Individual Registrant:
DR. BARRY FRANK BOOTH DMD
Gender: M
Sole Proprietor

Location and contact information for practice:
6475 SPANISH FORT BLVD SUITE H SPANISH FORT, AL 36527-9406 US
Tel: 251-654-1563  Fax: --

Contact information for business:
PO BOX 7700  SPANISH FORT, AL 36577-7700 US
Tel: 251-654-1563  Fax: --

Registration Information:
NPI: 1508828732
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
ALLND5269

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
631400138AL05
BCBS51515991AL01




HEALTH CARE JOBS AL - Page 1



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