Individual
GREGORY PAUL LIVESAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GASTON AVENUE, DALLAS, TX 75246
(214) 828-8100
Mailing address
2915 RANDY LN, FARMERS BRANCH, TX 75234-6428
(210) 777-3500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NA
TX
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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