KEN G GOODWIN

BOONEVILLE, MS
NPI1902992043
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  1971-82)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Dr. KEN G GOODWIN DMD, PA
403 NORTH THIRD STREET
BOONEVILLE, MS 38829
Phone number: 662-728-8171
Mailing Address
Dr. KEN G GOODWIN DMD, PA
PO BOX 877
BOONEVILLE, MS 38829-0877
Phone number: 662-728-8171