Individual
AMY GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6910 S RAINBOW BLVD STE 104, LAS VEGAS, NV 89118-3274
(702) 362-5437
(702) 631-5437
Mailing address
9521 BOTTLE CREEK LN, LAS VEGAS, NV 89117-0501
(702) 767-2461
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6021
NV
Other
Enumeration date
06/27/2008
Last updated
07/14/2010
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