NPI | 1760775043 |
---|---|
Doing Business As | WOMMACK DENTISTRY |
Entity Type | Organization |
Authorized Contact | GEORGE MICHAEL WOMMACK Owner 912-342-7049 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN012803) |
Enumeration Date | 2011-05-19 |
Last Update Date | 2011-05-19 |