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Organization
LIVINGSTON FAMILY DENTISTRY, PLLC
Active
Organization
LIVINGSTON FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENAS NIMRI DDS (OWNER)
(936) 337-0000
Entity
Organization
Contact information
Practice address
411 YAUPON AVE, LIVINGSTON, TX 77351-2664
(936) 337-0000
Mailing address
411 YAUPON AVE, LIVINGSTON, TX 77351-2664
(936) 337-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21920
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346396280
INDIVIDUAL NPI
TX
01
—
1609980309
NPI
TX
Enumeration date
03/10/2015
Last updated
02/11/2016
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