| NPI | 1386277374 |
|---|---|
| Doing Business As | GRANT LISKE DDS |
| Entity Type | Organization |
| Authorized Contact | GRANT LISKE Owner 760-789-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |