DR. Octavia S Lively, DDS
NPI #1003256827 in Portland, Oregon
Provider Information
- NPI Number
- 1003256827
- Entity Type
- Individual
- Name
- DR. Octavia S Lively, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Jun 25, 2013
- Last Updated
- Feb 12, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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