Individual
DR. PATRICIA LISTON-GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15300 WEST AVE, SUITE 110, ORLAND PARK, IL 60462-4600
(708) 403-3330
(708) 403-5762
Mailing address
15300 WEST AVE, SUITE 110, ORLAND PARK, IL 60462-4600
(708) 403-3330
(708) 403-5762
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
IL
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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