| NPI | 1245866755 |
|---|---|
| Doing Business As | SUMMERVILLE DENTAL |
| Entity Type | Organization |
| Authorized Contact | LUKE ALEXANDER LISZKA Owner 843-875-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |