Organization
LE SUMMERVILLE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE ALEXANDER LISZKA (OWNER)
(843) 875-5111
Entity
Organization
Contact information
Practice address
101 HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 875-5111
Mailing address
101 HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 875-5111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/07/2025
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