Individual
DR. DAVID C GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1659 E LAYTON ROAD, FREELAND, WA 98249
(360) 331-6100
Mailing address
PO BOX 40, FREELAND, WA 98249-0040
(360) 331-6100
(360) 331-6105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3274
LICENSE
WA
Enumeration date
07/26/2006
Last updated
07/08/2007
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