| NPI | 1780821124 |
|---|---|
| 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 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |