Organization
EZ SLEEP SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN CURT LIVELY DDS (OWNER)
(580) 782-2027
Entity
Organization
Contact information
Practice address
230 E. JEFFERSON, MANGUM, OK 73554
(590) 782-2552
Mailing address
230 E JEFFERSON ST STE B, MANGUM, OK 73554-4202
(590) 782-2552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/27/2018
Last updated
05/14/2019
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