Individual
DR. RONALD ANTHONY LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13724 WOODWARD AVE, HIGHLAND PARK, MI 48203-3625
(313) 883-3050
(313) 883-7038
Mailing address
13724 WOODWARD AVE, HIGHLAND PARK, MI 48203-3625
(313) 883-3050
(313) 883-7038
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12907
MI
1223G0001X
General Practice Dentistry
Primary
12907
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
871984
UNITED CONCORDIA
—
Enumeration date
08/17/2006
Last updated
07/16/2020
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