| NPI | 1417351602 |
|---|---|
| Doing Business As | LIVINGSTON DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEANELLE ELMOYNE LIVINGSTON Operations Leader 307-885-4337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WY 910) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2017-04-06 |