Individual
CHRISTA ELIZABETH GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2787 WINFIELD SCOTT RD, FORT SAM HOUSTON, TX 78234-7679
(210) 299-8506
Mailing address
1811 ARMY BLVD, JBSA, FORT SAM HOUSTON, TX 78234-2686
(210) 221-0826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02387100
NJ
1223D0001X
Public Health Dentistry
Primary
22DI02387100
NJ
Other
Enumeration date
02/16/2009
Last updated
04/11/2023
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