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1629602065
KEITH WILLIAM STREET
SPARTANBURG, SC
NPI
1629602065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: SC 2984)
Enumeration Date
2020-02-25
Last Update Date
2020-02-25
Business Address
KEITH WILLIAM STREET DMD
1460 JOHN B WHITE SR BLVD STE 1-5
SPARTANBURG, SC 29306-3996
Phone number: 470-552-1823
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Mailing Address
KEITH WILLIAM STREET DMD
1460 JOHN B WHITE SR BLVD STE 1-5
SPARTANBURG, SC 29306-3996
Phone number:
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