Individual
DR. MICHAEL LISTHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10741 BIRMINGHAM WAY, WOODSTOCK, MD 21163-1403
(410) 750-7855
Mailing address
10741 BIRMINGHAM WAY, WOODSTOCK, MD 21163-1403
(410) 750-7855
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17057
MD
Other
Enumeration date
06/04/2020
Last updated
09/18/2024
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