Individual
CURTIS D LIVENGOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2727 FIRST AVE SE, CEDAR RAPIDS, IA 52402
(319) 363-2643
(319) 363-8886
Mailing address
2727 FIRST AVE SE, CEDAR RAPIDS, IA 52402
(319) 363-2643
(319) 363-8886
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5515
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064428
—
IA
Enumeration date
01/17/2006
Last updated
07/08/2007
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