Provider Demographics
NPI:1043204860
Name:WOJCIK, ROSE MARIE (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:ROSE
Middle Name:MARIE
Last Name:WOJCIK
Suffix:
Gender:F
Credentials:DMD, MD
Other - Prefix:DR
Other - First Name:ROSE
Other - Middle Name:MARIE
Other - Last Name:LEARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD, MD
Mailing Address - Street 1:8118 LAKE PLEASANT DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-3009
Mailing Address - Country:US
Mailing Address - Phone:571-282-8965
Mailing Address - Fax:
Practice Address - Street 1:1050 W PERIMETER RD
Practice Address - Street 2:779 MDG ORAL & MAXILLOFACIAL SURGERY
Practice Address - City:JOINT BASE ANDREWS
Practice Address - State:MD
Practice Address - Zip Code:20762-6601
Practice Address - Country:US
Practice Address - Phone:240-857-6036
Practice Address - Fax:240-857-8847
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL44441223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery