Individual provider · Type 1 NPI
Justin William Liska, DDS
Oral and Maxillofacial Surgery (Dentist) · Conroe, TX
NPI number
1912290453
Active
Practice location
2249 N Loop 336 W, Suite A
Conroe, TX 77304-3639
Fax (936) 441-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 31680 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1912290453
Justin William Liska, DDS's National Provider Identifier is 1912290453, issued on May 17, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Conroe, TX. The record was last updated on Aug 30, 2016.