Organization
GREGORY D. LISKA DDS AND DARREN E. HOVLAND DDS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DAVID LISKA D.D.S. (PRINCIPAL)
(763) 546-2209
Entity
Organization
Contact information
Practice address
1025 EVERGREEN LN N, PLYMOUTH, MN 55441-4800
(763) 546-2209
(763) 546-9107
Mailing address
1025 EVERGREEN LN N, PLYMOUTH, MN 55441-4800
(763) 546-2209
(763) 546-9107
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9376
MN
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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