# PETER M LISTRO, DMD, PC

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

## Provider details

- **NPI number:** 1598944969
- **Authorized official:** DR. PETER M LISTRO DMD (PRESIDENT)
- **Authorized official phone:** (800) 883-7243

## Contact information

- **Practice address:** 1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
- **Practice address phone:** (570) 398-0100
- **Mailing address:** 210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
- **Mailing address phone:** (714) 347-1000
- **Mailing address fax:** (714) 647-1245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | DS018695L | PA | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 10/06/2009