Individual
CLIFFORD T GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12515 WARWICK BLVD STE 203, NEWPORT NEWS, VA 23606-2964
(757) 930-3744
(757) 930-2726
Mailing address
12610 PATRICK HENRY DR, STE G, NEWPORT NEWS, VA 23602-9538
(757) 930-3355
(757) 930-2726
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6165
VA
Other
Enumeration date
07/18/2006
Last updated
06/09/2016
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