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That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Periodontics |
1223P0300X | |||
Endodontics |
1223E0200X |
| NPI # | 1881471134 |
| LBN Legal business name | LE SUMMERVILLE DENTAL LLC |
| Authorized official | LUKE LISZKA - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/11/2023 |
| Last updated | 09/11/2023 - About 3 years ago |
| Identifiers | n/a |
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LE SUMMERVILLE DENTAL LLC