Individual
DR. JOE B WOMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1701 WASHINGTON AVE, PARSONS, KS 67357-3204
(620) 421-0980
(620) 421-1441
Mailing address
1701 WASHINGTON AVE, PARSONS, KS 67357-3204
(620) 421-0980
(620) 421-1441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5853
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
742813548
TAX ID
KS
Enumeration date
09/25/2006
Last updated
07/08/2007
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