| Teeth DS Di Endo Perio | |
|
240 Seven Farms Dr Ste 101 Daniel Island SC 29492-8988 | |
| (843) 284-4444 | |
| Not Available |
| Full Name | Teeth DS Di Endo Perio |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 240 Seven Farms Dr Ste 101, Daniel Island, South Carolina |
| Authorized Official Name and Position | Luke Liszka (PERIODONTIST) |
| Authorized Official Contact | 8432844444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teeth DS Di Endo Perio 240 Seven Farms Dr Ste 101 Daniel Island SC 29492-8988 Ph: (843) 284-4444 | Teeth DS Di Endo Perio 240 Seven Farms Dr Ste 101 Daniel Island SC 29492-8988 Ph: (843) 284-4444 |
| NPI Number | 1275315822 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275315822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Primary |
| 1223P0300X | Dentist - Periodontics | (NU) | Secondary |
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