DR. Elizabeth Blavatsky, D.D.S.
NPI #1679627699 in Livingston, Montana
Provider Information
- NPI Number
- 1679627699
- Entity Type
- Individual
- Name
- DR. Elizabeth Blavatsky, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 422 S MAIN ST
- City
- Livingston
- State
- Montana
- ZIP Code
- 59047-3456
- Phone
- (406) 222-6061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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