Blake Gabriel Livingston, DDS

NPI #1750677902 in Highland Park, Michigan

Provider Information

NPI Number
1750677902
Entity Type
Individual
Name
Blake Gabriel Livingston, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jun 27, 2011
Last Updated
May 15, 2015

Practice Location

Address
13724 WOODWARD AVE
ZIP Code
48203-3625
Phone
(313) 883-3050

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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