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Organization
WOMACK DENTAL DMD INC
Active
Organization
WOMACK DENTAL DMD INC
Active
Other names
Womack Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STENSON WOMACK DMD (CEO/PRESIDENT)
(209) 418-8878
Entity
Organization
Contact information
Practice address
645 NEW YORK RANCH RD, JACKSON, CA 95642-9328
(209) 223-0204
Mailing address
645 NEW YORK RANCH RD, JACKSON, CA 95642-9328
(209) 223-0204
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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