Individual
DR. CLIFFORD KIRBY GOODWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11 CANARY LN, WINCHESTER, KY 40391-1645
(270) 304-6547
Mailing address
11 CANARY LN, WINCHESTER, KY 40391-1645
(270) 304-6547
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
019.033025
IL
1223P0221X
Pediatric Dentistry
Primary
1170
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
05/22/2019
Last updated
05/10/2023
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