Individual
RYAN DAVID WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S.
Contact information
Practice address
2008 CATON WAY SW STE 101, OLYMPIA, WA 98502-2100
(360) 754-9444
(360) 754-8335
Mailing address
2008 CATON WAY SW STE 101, OLYMPIA, WA 98502-2100
(360) 754-9444
(360) 754-8335
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE.60280647
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD.602817188
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
M6467
TX
Other
Enumeration date
09/14/2009
Last updated
03/03/2025
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