| Le Summerville Dental Llc | |
|
101 Harth Pl Summerville SC 29485-8107 | |
| (843) 875-5111 | |
| Not Available |
| Full Name | Le Summerville Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 101 Harth Pl, Summerville, South Carolina |
| Authorized Official Name and Position | Luke Alexander Liszka (OWNER) |
| Authorized Official Contact | 8438755111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Le Summerville Dental Llc 101 Harth Pl Summerville SC 29485-8107 Ph: (843) 875-5111 | Le Summerville Dental Llc 101 Harth Pl Summerville SC 29485-8107 Ph: (843) 875-5111 |
| NPI Number | 1245866755 |
|---|---|
| Provider Enumeration Date | 03/16/2020 |
| Last Update Date | 03/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245866755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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