Morris Lenhart Booth JR. DDS

NPI 1073651816 - Dentist - 1223G0001X

NPI Details
NPI 1073651816
Gender Male
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
208 S FIR STREET
ELK MOUNTAIN WY, 82324-0075, US
Phone (307) 348-7351
Fax
Business Location
PO BOX 75
ELK MOUNTAIN WY, 82324-0075, US
Phone (307) 348-7351
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wyoming
License Number 1068
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According to our database, Dr. Morris Lenhart Booth JR. DDS NPI is 1073651816, taxonomy code is 1223G0001X and license number is 1068, license state is located at Wyoming. Morris Lenhart Booth JR. DDS physically located at 208 S Fir Street, Elk Mountain WY, 82324-0075. NPI Number Morris Lenhart Booth JR. DDS has the Individual type.

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1073651816 NPI number is provided on an as is basis without warranty of any kind. 1073651816 is maintained by the National Plan & Provider Enumeration System. The contents of Morris Lenhart Booth JR. DDS are for informational purposes only.