| Livingston Family Dentistry, Pllc | |
|
411 Yaupon Ave Livingston TX 77351-2664 | |
| (936) 337-0000 | |
| Not Available |
| Full Name | Livingston Family Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 411 Yaupon Ave, Livingston, Texas |
| Authorized Official Name and Position | Enas Nimri (OWNER) |
| Authorized Official Contact | 9363370000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Livingston Family Dentistry, Pllc 411 Yaupon Ave Livingston TX 77351-2664 Ph: (936) 337-0000 | Livingston Family Dentistry, Pllc 411 Yaupon Ave Livingston TX 77351-2664 Ph: (936) 337-0000 |
| NPI Number | 1205229655 |
|---|---|
| Provider Enumeration Date | 03/10/2015 |
| Last Update Date | 02/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205229655 | NPI | - | NPPES |
| 1609980309 | Other | TX | NPI |
| 1346396280 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 21920 (Texas) | Primary |
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