Individual
DR. DUSTIN VINAL GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
75 E 1400 S, GARLAND, UT 84312-9316
(435) 257-7016
(435) 257-4590
Mailing address
75 E 1400 S, PO BOX 99, GARLAND, UT 84312-9316
(435) 257-7016
(435) 257-4590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6370849
UT
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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