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Ryan Booth, DDS
NPI 1578036638 · on the registry since 2019 · sole proprietor
Practice
- Address
- 12635 W 143rd St
Homer Glen, IL 60491 - Phone
- (708) 301-0005
- Organisation at this address
- Booth Orthodontics Llc
Barry E. Booth, D.D.S., M.S.
Booth Orthodontics Of Homer Glen LlpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-10
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 Illinois