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1487386801
MADISON COMER LIVELY
RICHARDSON, TX
NPI
1487386801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 38808)
Additional Taxonomies
122300000X Dentist
(Licence: GA DN122708)
Enumeration Date
2022-06-24
Last Update Date
2023-12-19
Business Address
MADISON COMER LIVELY DMD
106 N COTTONWOOD DR
RICHARDSON, TX 75080-4736
Phone number: 972-231-5376
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Mailing Address
MADISON COMER LIVELY DMD
4606 AMESBURY DR APT 365
DALLAS, TX 75206-4838
Phone number: 678-520-3422
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