Individual
ANDREW CHRISTOPHER GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
192 WESTERN AVE, SOUTH PORTLAND, ME 04106-2428
(207) 405-0004
Mailing address
103 FOXCROFT LN, FAYETTEVILLE, NY 13066-2503
(315) 530-5710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14014
CT
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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