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1487698239
ELIZABETH TANNER GOODWIN
MYRTLE BEACH, SC
NPI
1487698239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: PA DS036439)
Enumeration Date
2006-06-15
Last Update Date
2010-12-28
Business Address
-- ELIZABETH TANNER GOODWIN DMD
1317 N KINGS HWY SUITE 106
MYRTLE BEACH, SC 29577-3636
Phone number: 843-626-5437
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Mailing Address
-- ELIZABETH TANNER GOODWIN DMD
201 W 8TH ST SUITE 810
PUEBLO, CO 81003-3038
Phone number: 719-562-4447
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