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1508930751
KENNETH EDWARD GOODWIN
ROSWELL, GA
NPI
1508930751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN012096)
Enumeration Date
2006-11-20
Last Update Date
2007-07-08
Business Address
Dr. KENNETH EDWARD GOODWIN dds
1540 OLD ALABAMA RD SUITE 300
ROSWELL, GA 30076-2136
Phone number: 770-642-8440
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Mailing Address
Dr. KENNETH EDWARD GOODWIN dds
1540 OLD ALABAMA RD SUITE 300
ROSWELL, GA 30076-2136
Phone number: 770-642-8440
Copy
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