Organization
ORAL AND MAXILLOFACIAL SURGEONS OF UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD C LISTON D.D.S., M.S. (ORAL AND MAXILLOFACIAL SURGEON)
(801) 779-0506
Entity
Organization
Contact information
Practice address
2297 N HILLFIELD RD, BUILDING A, SUITE 105, LAYTON, UT 84041-6928
(801) 779-0506
(801) 779-4344
Mailing address
2297 N HILLFIELD RD, BUILDING A, SUITE 105, LAYTON, UT 84041-6928
(801) 779-0506
(801) 779-4344
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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