Individual
BARBARA WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 WASHINGTON BLVD, DETROIT, MI 48226-1807
(313) 963-3336
Mailing address
1203 WASHINGTON BLVD, DETROIT, MI 48226-1807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012734
MI
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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