Individual
THOMAS R LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
702 E SOUTH TEMPLE STE 209, SALT LAKE CITY, UT 84102-1795
(801) 359-8282
(801) 359-8902
Mailing address
702 E SOUTH TEMPLE STE 209, SALT LAKE CITY, UT 84102-1795
(801) 359-8282
(801) 359-8902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
136965-9922
UT
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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