Stephanie R Boone DDS

NPI 1063740579 - Dentist - 1223G0001X

NPI Details
NPI 1063740579
Gender Female
Enumeration Date 11/20/2009
Last Updated 11/20/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4173 PATTERSON AVE
BALTIMORE MD, 21215-2221, US
Phone (678) 904-5665
Fax
Business Location
400 GALLERIA PKWY SE
SUITE 800
ATLANTA GA, 30339-5980, US
Phone (678) 904-5665
Fax (678) 247-7862
Toxanomy
Taxonomy Code 1223G0001X
License State Maryland
License Number 13684
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According to our database, Dr. Stephanie R Boone DDS NPI is 1063740579, taxonomy code is 1223G0001X and license number is 13684, license state is located at Maryland. Stephanie R Boone DDS physically located at 4173 Patterson Ave, Baltimore MD, 21215-2221. NPI Number Stephanie R Boone DDS has the Individual type.

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1063740579 NPI number is provided on an as is basis without warranty of any kind. 1063740579 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie R Boone DDS are for informational purposes only.