Individual
DR. DAVID B. LISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
403 SOUTH HIGHWAY 71, WEWAHITCHKA, FL 32465
(850) 639-4565
(850) 639-6565
Mailing address
PO BOX 68, WEWAHITCHKA, FL 32465-0068
(850) 639-4565
(850) 639-6565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15437
FL
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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