Organization
MARK G. WOMACK, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK G. WOMACK D.D.S. (OWNER/PRESIDENT)
(530) 345-7127
Entity
Organization
Contact information
Practice address
952 LUPIN AVE, SUITE #110, CHICO, CA 95973-0933
(530) 345-7127
(530) 345-4914
Mailing address
952 LUPIN AVE, SUITE #110, CHICO, CA 95973-0933
(530) 345-7127
(530) 345-4914
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D37037
CA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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