Individual
DR. JAMES STEPHEN WOMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
115 W DOTY ST, MADISON, WI 53703-3276
(608) 266-5942
Mailing address
8540 GREENWAY BLVD, #103, MIDDLETON, WI 53562-4700
(608) 831-1282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10437
MN
122300000X
Dentist
14145
TX
122300000X
Dentist
Primary
5341-015
WI
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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