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Blake Livingston, DDS
NPI 1750677902 · on the registry since 2011
Practice
- Address
- 13724 Woodward Ave
Highland Park, MI 48203 - Phone
- (313) 883-3050
- Organisation at this address
- Ronald A Livingston, Dds, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan