Organization
JC GOODWIN, DMD
Active
Parent organization
JC GOODWIN, DMD
Organization subpart
Yes
Provider details
NPI number
Legal business name
JC GOODWIN, DMD
Authorized official
JAMES CLINTON GOODWIN DMD (OWNER)
(928) 778-4555
Entity
Organization
Contact information
Practice address
2110 W 24TH ST, SUITE A, YUMA, AZ 85364-8878
(855) 442-7700
(928) 708-9443
Mailing address
3185 CLEARWATER DR, SUITE B, PRESCOTT, AZ 86305-7119
(928) 778-4555
(928) 778-4560
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
3540
AZ
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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