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Individual

SARA B WOMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
412 N KENTUCKY AVE, MADISONVILLE, KY 42431-1711
(270) 821-5242
(270) 825-0138
Mailing address
412 N KENTUCKY AVE, P O BOX 1266, MADISONVILLE, KY 42431-1711
(270) 821-5242
(270) 825-0138

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3344
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3344
DENTAL HYGIENE LICENSE
KY
Enumeration date
06/23/2008
Last updated
06/23/2008
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