# GREGORY D. LISKA DDS AND DARREN E. HOVLAND DDS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568591139
- **Authorized official:** DR. GREGORY DAVID LISKA D.D.S. (PRINCIPAL)
- **Authorized official phone:** (763) 546-2209

## Contact information

- **Practice address:** 1025 EVERGREEN LN N, PLYMOUTH, MN 55441-4800
- **Practice address phone:** (763) 546-2209
- **Practice address fax:** (763) 546-9107
- **Mailing address:** 1025 EVERGREEN LN N, PLYMOUTH, MN 55441-4800
- **Mailing address phone:** (763) 546-2209
- **Mailing address fax:** (763) 546-9107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9376 | MN | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020
