Individual
MARK G. WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
952 LUPIN AVE STE 110, CHICO, CA 95973-0933
(530) 345-7127
(530) 345-4914
Mailing address
25 OAK MANOR CT, CHICO, CA 95926-1779
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
CA
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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