# MARK G. WOMACK, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467628222
- **Authorized official:** DR. MARK G. WOMACK D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (530) 345-7127

## Contact information

- **Practice address:** 952 LUPIN AVE, SUITE \#110, CHICO, CA 95973-0933
- **Practice address phone:** (530) 345-7127
- **Practice address fax:** (530) 345-4914
- **Mailing address:** 952 LUPIN AVE, SUITE \#110, CHICO, CA 95973-0933
- **Mailing address phone:** (530) 345-7127
- **Mailing address fax:** (530) 345-4914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | D37037 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008