Individual
DR. JUSTIN WILLIAM LISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2249 N LOOP 336 W, SUITE A, CONROE, TX 77304-3639
(936) 441-8180
(936) 441-1905
Mailing address
2249 N LOOP 336 W, SUITE A, CONROE, TX 77304-3639
(713) 542-7001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31680
TX
Other
Enumeration date
05/17/2011
Last updated
08/30/2016
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