| NPI | 1205098324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD C. LISTON Oral And Maxillofacial Surgeon 801-779-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: UT 260605) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-08-14 |