BENJAMIN LIVELY, DDS

DDS

Dentist

NPI: 1891226569Individual

Specialties, Licenses & Credentials

DentistPrimary

Dentist

Code: 122300000X

D10603(OR)

Contact & Hours

Address: 2730 S MOODY AVE
PORTLAND, OR 97201
Phone: (214) 726-6404

Quick Facts

NPI: 1891226569
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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