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Organization
TEETH DS DANIEL ISLAND LLC
Active
Organization
TEETH DS DANIEL ISLAND LLC
Active
Parent organization
TEETH DS DANIEL ISLAND LLC
Other names
Teeth DS DI Endo Perio
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEETH DS DANIEL ISLAND LLC
Authorized official
LUKE LISZKA DMD (PERIODONTIST)
(843) 284-4444
Entity
Organization
Contact information
Practice address
240 SEVEN FARMS DR STE 101, DANIEL ISLAND, SC 29492-8988
(843) 284-4444
Mailing address
240 SEVEN FARMS DR STE 101, DANIEL ISLAND, SC 29492-8988
(843) 284-4444
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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