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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