DR. Ken G Goodwin, DMD, PA
NPI #1902992043 in Booneville, Mississippi
Provider Information
- NPI Number
- 1902992043
- Entity Type
- Individual
- Name
- DR. Ken G Goodwin, DMD, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD, PA
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 403 NORTH THIRD STREET
- City
- Booneville
- State
- Mississippi
- ZIP Code
- 38829
- Phone
- (662) 728-8171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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|---|---|
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