KENNETH EDWARD GOODWIN

ROSWELL, GA
NPI1508930751
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: GA  DN012096)
Enumeration Date2006-11-20
Last Update Date2007-07-08
Business Address
DR. KENNETH EDWARD GOODWIN DDS
1540 OLD ALABAMA RD SUITE 300
ROSWELL, GA 30076-2136
Phone number: 770-642-8440
Mailing Address
DR. KENNETH EDWARD GOODWIN DDS
1540 OLD ALABAMA RD SUITE 300
ROSWELL, GA 30076-2136
Phone number: 770-642-8440