Organization
RYAN D WOMACK MD DDS PLLC
Active
Other names
Capital Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN DAVID WOMACK MD, DDS (OWNER)
(360) 754-9444
Entity
Organization
Contact information
Practice address
400 YAUGER WAY SW, SUITE A, OLYMPIA, WA 98502-8139
(360) 754-9444
(360) 754-8335
Mailing address
400 YAUGER WAY SW, SUITE A, OLYMPIA, WA 98502-8139
(360) 754-9444
(360) 754-8335
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
DE.60280647
WA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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