Organization
DR. KEITH B. FLYNN DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BRYAN FLYNN (PRESIDENT)
(843) 824-8742
Entity
Organization
Contact information
Practice address
1505 RED BANK RD, GOOSE CREEK, SC 29445-4516
(843) 824-8742
(843) 824-8430
Mailing address
1505 RED BANK RD, GOOSE CREEK, SC 29445-4516
(843) 824-8742
(843) 824-8430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3106
SC
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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