Ken Goodwin, Dmd, PA
NPI #1548673320 in Booneville, Mississippi
Provider Information
- NPI Number
- 1548673320
- Entity Type
- Organization
- Organization Name
- Ken Goodwin, Dmd, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 9, 2014
- Last Updated
- Jun 9, 2014
Practice Location
- Address
- 403 N THIRD ST
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829-1609
- Phone
- (662) 728-8171
Authorized Official
- Name
- DR. KEN G GOODWIN, DMD,PA
- Title
- OWNER
- Phone
- (662) 728-8171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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