Todd C. Liston Dds, Ms, Pc

NPI 1205098324 - Dentist - 1223S0112X

NPI Details
NPI 1205098324
Enumeration Date 06/30/2008
Last Updated 08/14/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TODD C. TODD
Position ORAL AND MAXILLOFACIAL SURGEON
Phone (801) 299-8531
Fax (801) 299-9667
Practice Location
469 MEDICAL DR
SUITE 202
BOUNTIFUL UT, 84010-4900, US
Phone (801) 299-8531
Fax (801) 299-9667
Business Location
2297 N HILL FIELD RD
BUILDING A, SUITE 105
LAYTON UT, 84041-6920, US
Phone (801) 779-0506
Fax (801) 779-4344
Toxanomy
Taxonomy Code 1223S0112X
License State Utah
License Number 260605
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According to our database, Todd C. Liston Dds, Ms, Pc NPI is 1205098324, taxonomy code is 1223S0112X and license number is 260605, license state is located at Utah. Todd C. Liston Dds, Ms, Pc physically located at 469 Medical Dr, Bountiful UT, 84010-4900. NPI Number 1033115704 has the healthcare provider type.

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1205098324 NPI number is provided on an as is basis without warranty of any kind. 1205098324 is maintained by the National Plan & Provider Enumeration System. The contents of Todd C. Liston Dds, Ms, Pc are for informational purposes only.