Dustin Curt Lively, DDS

NPI #1073527933 in Mangum, Oklahoma

Provider Information

NPI Number: 1073527933
Entity Type: Individual
Name: Dustin Curt Lively, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 28, 2006
Last Updated: May 14, 2019

Practice Location

Address: 230 E JEFFERSON ST
City: Mangum
State: Oklahoma
ZIP Code: 73554-4202
Phone: (580) 782-2552

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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