Organization
GOODWIN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MORGAN GOODWIN DMD (OWNER)
(860) 376-4483
Entity
Organization
Contact information
Practice address
25A E MAIN ST, JEWETT CITY, CT 06351-2108
(860) 376-4483
Mailing address
25A E MAIN ST, JEWETT CITY, CT 06351-2108
(860) 376-4483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009080
CT
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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