| E.l. Centre Pointe Professional Llc | |
|
4965 Centre Pointe Dr Ste 100 North Charleston SC 29418-6945 | |
| (843) 277-0102 | |
| (843) 277-0422 |
| Full Name | E.l. Centre Pointe Professional Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4965 Centre Pointe Dr Ste 100, North Charleston, South Carolina |
| Authorized Official Name and Position | Luke Alexander Liszka (PERIODONTIST) |
| Authorized Official Contact | 8432770102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E.l. Centre Pointe Professional Llc 4965 Centre Pointe Dr Ste 100 North Charleston SC 29418-6945 Ph: (843) 277-0102 | E.l. Centre Pointe Professional Llc 4965 Centre Pointe Dr Ste 100 North Charleston SC 29418-6945 Ph: (843) 277-0102 |
| NPI Number | 1851918882 |
|---|---|
| Provider Enumeration Date | 06/25/2020 |
| Last Update Date | 06/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851918882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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