Organization
PETER M LISTRO, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER M LISTRO DMD (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-0100
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1000
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DS018695L
PA
Other
Enumeration date
11/01/2007
Last updated
10/06/2009
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