Individual
DR. TIMOTHY R LIPTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1141/2 ASHLEY AVENUE, CHARLESTON, SC 29401
(843) 805-7143
(843) 276-2938
Mailing address
194 GROVE ST, CHARLESTON, SC 29403-3635
(843) 805-7143
(843) 276-2938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4299
SC
Other
Enumeration date
12/06/2005
Last updated
08/13/2008
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