DUSTIN CURT LIVELY

MANGUM, OK
NPI1073527933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OK  5327)
Enumeration Date2006-07-28
Last Update Date2019-05-14
Business Address
DUSTIN CURT LIVELY DDS
230 E JEFFERSON ST
MANGUM, OK 73554-4202
Phone number: 580-782-2552
Mailing Address
DUSTIN CURT LIVELY DDS
PO BOX 126
MANGUM, OK 73554-0126
Phone number: 580-782-2552
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