DR. Kyle Livengood, D.M.D

NPI #1689121261 in Camp Pendleton, California

Provider Information

NPI Number: 1689121261
Entity Type: Individual
Name: DR. Kyle Livengood, D.M.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 200 MERCY CIRCLE, BOX 555191
Address 2: NAVAL HOSPITAL CAMP PENDLETON
City: Camp Pendleton
State: California
ZIP Code: 92055-5191
Phone: (760) 719-3675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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