| Ronald A Livingston, Dds, Pc | |
|
13724 Woodward Ave Highland Park MI 48203-3625 | |
| (313) 883-3050 | |
| (313) 883-7038 |
| Full Name | Ronald A Livingston, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13724 Woodward Ave, Highland Park, Michigan |
| Authorized Official Name and Position | Ronald Livingston (OWNER) |
| Authorized Official Contact | 3138833050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald A Livingston, Dds, Pc 13724 Woodward Ave Highland Park MI 48203-3625 Ph: (313) 883-3050 | Ronald A Livingston, Dds, Pc 13724 Woodward Ave Highland Park MI 48203-3625 Ph: (313) 883-3050 |
| NPI Number | 1750671830 |
|---|---|
| Provider Enumeration Date | 04/11/2011 |
| Last Update Date | 04/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750671830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12907 (Michigan) | Secondary |
| 1223G0001X | Dentist - General Practice | 12907 (Michigan) | Primary |