CLAYTON BOOTH, DDS

Dentist

Active Individual
NPI: 1518696806

Practice Address

59 DG-AF POSTGRADUATE DENTAL SCHOOL
2133 PEPPERRELL ST, BLDG 3352
Jbsa-lackland, TX 78236

Phone: (210) 292-6258

Specialties

Specialty Code Primary License
Dentist - Oral and Maxillofacial Surgery 1223S0112X No 12879487-9922 (UT)
Student in an Organized Health Care Education/Training Program 390200000X No -
Dentist 122300000X Yes 12879487-9922 (UT)

Frequently Asked Questions

NPI 1518696806 is the National Provider Identifier for CLAYTON BOOTH, DDS, a Dentist provider located in Jbsa-lackland, TX. This NPI was enumerated on June 10, 2022.
CLAYTON BOOTH, DDS practices at 59 DG-AF POSTGRADUATE DENTAL SCHOOL, 2133 PEPPERRELL ST, BLDG 3352, Jbsa-lackland, TX 78236.

Quick Facts

NPI
1518696806
Type
Individual
Enumerated
Jun 10, 2022
Last Updated
Aug 22, 2023

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