DR. Kenneth Omer Livingston JR., D.D.S.

NPI #1316047566 in Live Oak, Texas

Provider Information

NPI Number
1316047566
Entity Type
Individual
Name
DR. Kenneth Omer Livingston JR., D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Sep 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
11901 TOEPPERWEIN RD
Address 2
SUITE 1104
State
Texas
ZIP Code
78233-3161
Phone
(210) 946-4746

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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