Organization
WOMACK DENTAL PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIVIA FIELDS (MANAGER)
(248) 392-6005
Entity
Organization
Contact information
Practice address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
(313) 342-1997
(313) 416-1405
Mailing address
20720 PLYMOUTH RD, DETROIT, MI 48228-1275
(313) 342-1997
(313) 416-1405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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