| NPI | 1881471134 |
|---|---|
| Doing Business As | TEETH DENTISTS AND SPECIALISTS - ENDO AND PERIO SUMERVILLE |
| Entity Type | Organization |
| Authorized Contact | LUKE ALEXANDER LISZKA Owner 843-875-5111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |