Organization
ORAL & MAXILLOFACIAL SURGEONS OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD LISTON D.D.S, M.S. (PARTNER)
(801) 779-0506
Entity
Organization
Contact information
Practice address
2297 N HILL FIELD RD, SUITE 105, LAYTON, UT 84041-6920
(801) 779-0506
Mailing address
2297 N. HILL FIELD ROAD, SUITE 105, LAYTON, UT 84041
(801) 779-0506
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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