NOAH WILLIAM BOOTH
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1306789987- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 401 N 11TH ST, RICHMOND, VA, 232191901
- Phone
- (804) 828-0602
- Fax
- (804) 593-4279
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: VA #0442000581