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Organization
GREGORY D. LISKA DDS AND DARREN E. HOVLAND DDS, LTD
Active
Organization
GREGORY D. LISKA DDS AND DARREN E. HOVLAND DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DAVID LISKA D.D.S. (PRINCIPAL)
(763) 546-2209
Entity
Organization
Contact information
Practice address
1025 EVERGREEN LN N, PLYMOUTH, MN 55441-4800
(763) 546-2209
(763) 546-9107
Mailing address
1025 EVERGREEN LN N, PLYMOUTH, MN 55441-4800
(763) 546-2209
(763) 546-9107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9376
MN
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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