Organization · Type 2 NPI
Dylan P. Booth, Dds, PC
Dental Clinic/Center · Portland, OR
NPI number
1174108567
Active
Practice location
2505 SE Hawthorne Blvd
Portland, OR 97214-3926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1174108567
Dylan P. Booth, Dds, PC's National Provider Identifier is 1174108567, issued on Mar 17, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Mar 17, 2021.