Individual
DR. BROOKE D GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 HEARTLAND CT, DAYTON, VA 22821-9000
(540) 879-9211
(540) 879-9007
Mailing address
101 HEARTLAND CT, DAYTON, VA 22821-9000
(540) 879-9211
(540) 879-9007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414699
VA
Other
Enumeration date
08/08/2011
Last updated
03/05/2015
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