Organization
CLIFFORD T. GOODWIN, DDS
Active
Parent organization
ATLANTIC DENTAL CARE
Other names
a division of Atlantic Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC DENTAL CARE
Authorized official
DR. CLIFFORD THOMAS GOODWIN D.D.S. (DENTIST)
(757) 930-3744
Entity
Organization
Contact information
Practice address
12610 PATRICK HENRY DR, SUITE G, NEWPORT NEWS, VA 23602-9538
(757) 930-3744
(757) 930-2726
Mailing address
12610 PATRICK HENRY DR, SUITE G, NEWPORT NEWS, VA 23602-9538
(757) 930-3744
(757) 930-2726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
401006165
VA
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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