Individual
DR. KEENAN W. GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
101 MORGAN PLACE, SUMMERVILLE, SC 29485
(843) 851-2951
(843) 871-1283
Mailing address
101 MORGAN PL, SUMMERVILLE, SC 29485-8106
(843) 851-2951
(843) 871-1283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2985
SC
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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