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Individual
RYAN DAVID WOMACK
Active
Individual
RYAN DAVID WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE.60280647
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD.602817188
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
M6467
TX
Other
Enumeration date
09/14/2009
Last updated
03/03/2025
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