Womack Dental Pc.

NPI 1073853453 - Dentist - 122300000X

NPI Details
NPI 1073853453
Enumeration Date 02/22/2013
Last Updated 02/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name KATIVIA KATIVIA
Position MANAGER
Phone (313) 342-1997
Fax (313) 416-1405
Practice Location
20720 PLYMOUTH RD
DETROIT MI, 48228-1275, US
Phone (313) 342-1997
Fax (313) 416-1405
Business Location
20720 PLYMOUTH RD
DETROIT MI, 48228-1275, US
Phone (313) 342-1997
Fax (313) 416-1405
Toxanomy
Taxonomy Code 122300000X
License State
License Number
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According to our database, Womack Dental Pc. NPI is 1073853453, taxonomy code is 122300000X Womack Dental Pc. physically located at 20720 Plymouth Rd, Detroit MI, 48228-1275. NPI Number 1033115704 has the healthcare provider type.

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1073853453 NPI number is provided on an as is basis without warranty of any kind. 1073853453 is maintained by the National Plan & Provider Enumeration System. The contents of Womack Dental Pc. are for informational purposes only.