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1497825400
KEENAN W. GREEN
SUMMERVILLE, SC
NPI
1497825400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 2985)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. KEENAN W. GREEN D.M.D
101 MORGAN PLACE
SUMMERVILLE, SC 29485
Phone number: 843-851-2951
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Mailing Address
Dr. KEENAN W. GREEN D.M.D
101 MORGAN PL
SUMMERVILLE, SC 29485-8106
Phone number: 843-851-2951
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