| Womack Dental Dmd Inc | |
|
645 New York Ranch Rd Jackson CA 95642-9328 | |
| (209) 223-0204 | |
| Not Available |
| Full Name | Womack Dental Dmd Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 645 New York Ranch Rd, Jackson, California |
| Authorized Official Name and Position | Stenson Womack (CEO/PRESIDENT) |
| Authorized Official Contact | 2094188878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Womack Dental Dmd Inc 645 New York Ranch Rd Jackson CA 95642-9328 Ph: (209) 223-0204 | Womack Dental Dmd Inc 645 New York Ranch Rd Jackson CA 95642-9328 Ph: (209) 223-0204 |
| NPI Number | 1063223279 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 01/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063223279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Farhad Kiani Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12120 Industry Blvd, Suite 35, Jackson, CA 95642 Phone: 310-717-6656 | |
Y. C. Kim Dental, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 New York Ranch Rd, Suite 1, Jackson, CA 95642 Phone: 209-223-3992 | |