KENNETH LANE GOODWIN

MARRERO, LA
NPI1366185464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: LA  7312)
Enumeration Date2022-04-16
Last Update Date2022-05-23
Business Address
KENNETH LANE GOODWIN DDS
4964 LAPALCO BLVD
MARRERO, LA 70072-4371
Phone number: 504-784-5642
Mailing Address
KENNETH LANE GOODWIN DDS
502 PIERREMONT RD
SHREVEPORT, LA 71106-2208
Phone number: 318-617-8693
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