Individual
KELLY WOJCICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
18 GONIC RD, ROCHESTER, NH 03867-3925
(603) 332-7800
Mailing address
18 GONIC RD, ROCHESTER, NH 03867-3925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018.001689
IL
122300000X
Dentist
019028087
IL
122300000X
Dentist
Primary
03751
NH
Other
Enumeration date
08/01/2008
Last updated
12/02/2011
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