Individual
DR. DAVID ROMNEY LIFFERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2750 RASMUSSEN RD STE 106, PARK CITY, UT 84098-5531
(435) 615-9840
Mailing address
2750 RASMUSSEN RD STE 106, PARK CITY, UT 84098-5531
(435) 615-9840
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11593102-9924
UT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/10/2016
Last updated
07/01/2020
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