SearchIdaho1223G0001X

Gregory Booth, DDS

NPI 1073827333 · on the registry since 2010

Practice

Address
9733 W Ustick Rd
Boise, ID 83704
Phone
(208) 375-8720
Fax
(208) 375-8734
Clinicians at this address
2

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho