| NPI Details | |
|---|---|
| NPI | 1336242718 |
| Enumeration Date | 09/07/2006 |
| Last Updated | 11/14/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | ALICE MARY ALICE |
| Position | DENTIST |
| Phone | (619) 546-0488 |
| Fax | (619) 795-3419 |
| Practice Location | |
|---|---|
| 3703 4TH AVE SAN DIEGO CA, 92103, US |
|
| Phone | (619) 546-0488 |
| Fax | (619) 795-3419 |
| Business Location | |
|---|---|
| 3703 4TH AVE SAN DIEGO CA, 92103, US |
|
| Phone | (619) 546-0488 |
| Fax | (619) 795-3419 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 122300000X |
| License State | California |
| License Number | 23400 |
| Remove 1336242718 NPI Number | |
According to our database, Booth & Williams Dental Corp NPI is 1336242718, taxonomy code is 122300000X and license number is 23400, license state is located at California. Booth & Williams Dental Corp physically located at 3703 4th Ave, San Diego CA, 92103. NPI Number 1033115704 has the healthcare provider type.
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1336242718 NPI number is provided on an as is basis without warranty of any kind. 1336242718 is maintained by the National Plan & Provider Enumeration System. The contents of Booth & Williams Dental Corp are for informational purposes only.
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