Individual
DR. MARGARET ELEANOR BRIDGET LISKUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S., M.B.A.
Contact information
Practice address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-6453
Mailing address
530 S WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 587-6453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13965835-8903
UT
1223G0001X
General Practice Dentistry
019031704
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/11/2017
Last updated
12/09/2025
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