| NPI | 1093583049 |
|---|---|
| Former Legal Business Name | KEENAN W. SMITH, DMD |
| Entity Type | Organization |
| Authorized Contact | KEENAN WEBSTER SMITH Owner 864-729-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |