Dustin Curt Lively DDS

NPI 1073527933 - Dentist - 1223G0001X

NPI Details
NPI 1073527933
Gender Male
Enumeration Date 07/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
MANGUM OK, 73554-4202, US
Phone (580) 782-2552
Fax (580) 782-9266
Business Location
PO BOX 126
MANGUM OK, 73554-0126, US
Phone (580) 782-2552
Fax (580) 782-9266
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 5327
Remove 1073527933 NPI Number

According to our database, Dustin Curt Lively DDS NPI is 1073527933, taxonomy code is 1223G0001X and license number is 5327, license state is located at Oklahoma. Dustin Curt Lively DDS physically located at 230 E Jefferson St, Mangum OK, 73554-4202. NPI Number Dustin Curt Lively DDS has the Individual type.

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1073527933 NPI number is provided on an as is basis without warranty of any kind. 1073527933 is maintained by the National Plan & Provider Enumeration System. The contents of Dustin Curt Lively DDS are for informational purposes only.