Organization
LE SUMMERVILLE DENTAL LLC
Active
Parent organization
L E SUMMERVILLE DENTAL LLC
Other names
Teeth Dentists and Specialists - Endo and Perio Sumerville
Organization subpart
Yes
Provider details
NPI number
Legal business name
L E SUMMERVILLE DENTAL LLC
Authorized official
LUKE ALEXANDER LISZKA (OWNER)
(843) 875-5111
Entity
Organization
Contact information
Practice address
240 SEVEN FARMS DRIVE, SUITE 101, DANIEL ISLAND, SC 29492
(843) 284-4444
Mailing address
101 HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 875-5111
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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