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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