Livingston Family Dentistry | |
13724 Woodward Ave Highland Park MI 48203-3625 | |
(313) 883-3050 | |
(313) 883-7038 |
Full Name | Livingston Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 13724 Woodward Ave, Highland Park, Michigan |
Authorized Official Name and Position | Ronald Livingston (OWNER) |
Authorized Official Contact | 3138833050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Livingston Family Dentistry 13724 Woodward Ave Highland Park MI 48203-3625 Ph: (313) 883-3050 | Livingston Family Dentistry 13724 Woodward Ave Highland Park MI 48203-3625 Ph: (313) 883-3050 |
NPI Number | 1750671830 |
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Provider Enumeration Date | 04/11/2011 |
Last Update Date | 04/11/2011 |
Identifier | Type | State | Issuer |
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1750671830 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 12907 (Michigan) | Secondary |
1223G0001X | Dentist - General Practice | 12907 (Michigan) | Primary |