| Mark G. Womack, Dds, Inc. | |
|
952 Lupin Ave Suite #110 Chico CA 95973-0933 | |
| (530) 345-7127 | |
| (530) 345-4914 |
| Full Name | Mark G. Womack, Dds, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 952 Lupin Ave, Chico, California |
| Authorized Official Name and Position | Mark G. Womack (OWNER/PRESIDENT) |
| Authorized Official Contact | 5303457127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G. Womack, Dds, Inc. 952 Lupin Ave Suite #110 Chico CA 95973-0933 Ph: (530) 345-7127 | Mark G. Womack, Dds, Inc. 952 Lupin Ave Suite #110 Chico CA 95973-0933 Ph: (530) 345-7127 |
| NPI Number | 1467628222 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467628222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D37037 (California) | Primary |
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