Individual
BETH ANN WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1500 BEVILLE RD STE 403, DAYTONA BEACH, FL 32114-5644
(386) 253-6634
Mailing address
1500 BEVILLE RD STE 403, DAYTONA BEACH, FL 32114-5644
(386) 253-6634
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH12592
FL
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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