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Individual

KRISTIN L. GOODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1897 PECOS ST, SAN ANGELO, TX 76901-3231
(325) 655-9133
Mailing address
PO BOX 62852, SAN ANGELO, TX 76906-2852
(903) 521-5985

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32927
TX

Other

Enumeration date
06/29/2017
Last updated
06/29/2017
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