Gordon W. Womack Dds Inc | |
3300 Kemp Rd Beavercreek OH 45431 | |
(937) 426-2653 | |
Not Available |
Full Name | Gordon W. Womack Dds Inc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 3300 Kemp Rd, Beavercreek, Ohio |
Authorized Official Name and Position | Tamonia Leonard (CREDENTIALING SPECIAILST) |
Authorized Official Contact | 6782444844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gordon W. Womack Dds Inc 3300 Kemp Rd Beavercreek OH 45431-4200 Ph: (937) 426-2653 | Gordon W. Womack Dds Inc 3300 Kemp Rd Beavercreek OH 45431 Ph: (937) 426-2653 |
NPI Number | 1922585694 |
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Provider Enumeration Date | 07/25/2018 |
Last Update Date | 07/26/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922585694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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