Individual
DR. TODD C. LISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
469 MEDICAL DR STE 202, BOUNTIFUL, UT 84010-8921
(801) 299-8531
(801) 299-9667
Mailing address
469 MEDICAL DR STE 202, BOUNTIFUL, UT 84010-8921
(801) 299-8531
(801) 299-9667
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
260605
UT
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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