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Individual

CHRISTINE MARTINEZ GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(580) 442-5925
Mailing address
USA DENTAL HEALTH ACTIVITY, 4301 WILSON ST., FORT SILL, OK 73503
(580) 558-2795

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DH26493
RDH LICENSE
FL
Enumeration date
11/04/2021
Last updated
07/16/2025
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