DR. MATTHEW BOOTHE, DDS
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1104239136
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 30627 (TX) |
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 109471 (AK) |
Frequently Asked Questions
NPI 1104239136 is the National Provider Identifier for DR. MATTHEW BOOTHE, DDS, a Dentist - Pediatric Dentistry provider located in Wasilla, AK. This NPI was enumerated on June 6, 2014.
DR. MATTHEW BOOTHE, DDS practices at 3470 E MERIDIAN PARK LOOP, Wasilla, AK 99654.
Quick Facts
- NPI
- 1104239136
- Type
- Individual
- Enumerated
- Jun 6, 2014
- Last Updated
- Sep 2, 2016
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