LAWRENCE ELLIOTT LISTON, D.D.S

NPI: 1568616886 · Individual · Active

Primary Specialty

Dentist

Practice Location

2103 E WASHINGTON ST STE 2D
BLOOMINGTON, IL 61701-4365 Map ↗
Phone: 309-663-5582
Fax: 309-663-4683

All Specialties & Licenses

  • Dentist Primary (license: 019019178, IL)

NPI Registration

Enumerated: 2008-11-13

Last CMS Update: 2008-11-13