Individual
DR. ELIZABETH L GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
Mailing address
47 TOWN ST, NORWICH, CT 06360-2315
(860) 892-7042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008316
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008004241
—
CT
Enumeration date
06/22/2005
Last updated
03/05/2013
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