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Organization

TEETH DS DANIEL ISLAND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LUKE LISZKA (OWNER)
(403) 909-0302
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
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/16/2020
Last updated
03/07/2025
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