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Dustin C. Lively, DDS

General Dentistry · Mangum, OK

UnclaimedDDSNPI 1073527933
Primary taxonomy
1223G0001X
Enumerated
2006-07-28
Practice location
Mangum, OK
Last NPPES update
2019-05-14

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.