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Organization
TEETH SPECIALTY CENTER LLC
Active
Organization
TEETH SPECIALTY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE LISZKA DMD (PERIODONTIST)
(403) 909-0302
Entity
Organization
Contact information
Practice address
910 JOHNNIE DODDS BLVD STE 120, MT PLEASANT, SC 29464-5909
(403) 909-0302
Mailing address
1010 OCEAN BLVD UNIT 203, ISLE OF PALMS, SC 29451-1701
(403) 909-0302
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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