| NPI | 1851918882 |
|---|---|
| Doing Business As | TEETH DENTISTS & SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | LUKE ALEXANDER LISZKA Periodontist 843-277-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |