Kenneth Lane Goodwin, DDS

NPI #1366185464 in Marrero, Louisiana

Provider Information

NPI Number: 1366185464
Entity Type: Individual
Name: Kenneth Lane Goodwin, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Apr 16, 2022
Last Updated: May 23, 2022

Practice Location

Address: 4964 LAPALCO BLVD
City: Marrero
State: Louisiana
ZIP Code: 70072-4371
Phone: (504) 784-5642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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