| NPI | 1275315822 |
|---|---|
| Doing Business As | TEETH DS DI ENDO PERIO |
| Entity Type | Organization |
| Authorized Contact | LUKE LISZKA Periodontist 843-284-4444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2023-10-18 |