Organization
E.L. CENTRE POINTE PROFESSIONAL LLC
Active
Other names
Teeth Dentists & Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUKE ALEXANDER LISZKA DMD (PERIODONTIST)
(843) 277-0102
Entity
Organization
Contact information
Practice address
4965 CENTRE POINTE DR STE 100, NORTH CHARLESTON, SC 29418-6945
(843) 277-0102
(843) 277-0422
Mailing address
4965 CENTRE POINTE DR STE 100, NORTH CHARLESTON, SC 29418-6945
(843) 277-0102
(843) 277-0422
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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