institution
Dylan P. Booth, Dds, Pc
Dental Clinic/Center in Portland, Oregon
NPI 1174108567

Dylan P. Booth, Dds, Pc is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Dylan P. Booth, Dds, Pc practices in Portland, OR. The NPI Number for Dylan P. Booth, Dds, Pc is 1174108567 and holds a License No. (Oregon).

The current practice location address for Dylan P. Booth, Dds, Pc is 2505 Se Hawthorne Blvd, Portland, OR and can be reached out via phone at 503-232-3102. You can also correspond with Dylan P. Booth, Dds, Pc through the mailing address at 2505 SE HAWTHORNE BLVD, PORTLAND, OR - 97214-3926 (mailing address contact number: ).

Location: 2505 Se Hawthorne Blvd, Portland, OR, 97214-3926
institution
Provider Profile Details
NPI Number
1174108567
Provider Name
Dylan P. Booth, Dds, Pc
Credential
Provider Entity Type
Organization
Address
2505 Se Hawthorne Blvd, Portland, OR, 97214-3926
Phone Number
503-232-3102
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2505 Se Hawthorne Blvd
City
State
Zip
97214-3926
Phone Number
503-232-3102
Fax Number
person
Provider Business Mailing Address Details
Address
2505 Se Hawthorne Blvd
City
State
Zip
97214-3926
Phone Number
503-232-3102
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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