BENJAMIN LIVELY

PORTLAND, OR
NPI1891226569
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: OR  D10603)
Enumeration Date2017-03-24
Last Update Date2024-06-04
Business Address
BENJAMIN LIVELY DDS
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number: 214-726-6404
Mailing Address
BENJAMIN LIVELY DDS
2730 S MOODY AVE
PORTLAND, OR 97201-5042
Phone number:
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