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Organization
REST RESOLUTION LLC
Active
Organization
REST RESOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH O LIVINGSTSON JR. DDS (OWNER)
(210) 317-7927
Entity
Organization
Contact information
Practice address
11901 TOEPPERWEIN RD STE 1104, LIVE OAK, TX 78233-3159
(210) 946-4746
Mailing address
11901 TOEPPERWEIN RD STE 1104, LIVE OAK, TX 78233-3159
(210) 946-4746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
NULL
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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