Individual
CHRISTOPHER TIMOTHY KEENAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
64 STOCKADE RD, SUMMERVILLE, GA 30747-1900
(706) 857-2323
(706) 857-7041
Mailing address
810 RIVER RUSH DR, SUGAR HILL, GA 30518-7462
(770) 826-7710
(706) 857-7041
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN013152
GA
1223G0001X
General Practice Dentistry
DN013152
GA
Other
Enumeration date
08/15/2005
Last updated
11/14/2007
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