Individual
DR. KENNETH EDWARD GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1540 OLD ALABAMA RD, SUITE 300, ROSWELL, GA 30076-2136
(770) 642-8440
(770) 642-8294
Mailing address
1540 OLD ALABAMA RD, SUITE 300, ROSWELL, GA 30076-2136
(770) 642-8440
(770) 642-8294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012096
GA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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