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Organization
TODD C. LISTON DDS, MS, PC
Active
Organization
TODD C. LISTON DDS, MS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD C. LISTON D.D.S., M.S. (ORAL AND MAXILLOFACIAL SURGEON)
(801) 779-0506
Entity
Organization
Contact information
Practice address
469 MEDICAL DR, SUITE 202, BOUNTIFUL, UT 84010-4900
(801) 299-8531
(801) 299-9667
Mailing address
2297 N HILL FIELD RD, BUILDING A, SUITE 105, LAYTON, UT 84041-6920
(801) 779-0506
(801) 779-4344
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
260605
UT
Other
Enumeration date
06/30/2008
Last updated
08/14/2008
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