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Organization
TIMOTHY R LIPTAK DMD & ASSOCIATES LLC
Active
Organization
TIMOTHY R LIPTAK DMD & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ROBERT LIPTAK DMD (OWNER)
(843) 577-6376
Entity
Organization
Contact information
Practice address
114 1/2 ASHLEY AVE, CHARLESTON, SC 29401-1143
(843) 577-6376
(843) 722-1653
Mailing address
114 1/2 ASHLEY AVE, CHARLESTON, SC 29401-1143
(843) 577-6376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4299
SC
Other
Enumeration date
08/05/2008
Last updated
08/23/2010
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