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Organization
PREMIER SMILE AND IMPLANT CENTER
Active
Organization
PREMIER SMILE AND IMPLANT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN WALSH KELLER DDS (OWNER)
(540) 903-1731
Entity
Organization
Contact information
Practice address
10225 OCEAN HWY UNIT 203, PAWLEYS ISLAND, SC 29585-6507
(843) 314-0866
(843) 314-0615
Mailing address
10225 OCEAN HWY UNIT 203, PAWLEYS ISLAND, SC 29585-6507
(843) 314-0866
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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