Provider Demographics
NPI:1730429465
Name:WOKE, MARIE F (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:F
Last Name:WOKE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 ROUTE 10 STE 5
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-2132
Mailing Address - Country:US
Mailing Address - Phone:973-328-1555
Mailing Address - Fax:973-328-3405
Practice Address - Street 1:447 ROUTE 10 STE 5
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869
Practice Address - Country:US
Practice Address - Phone:973-328-1555
Practice Address - Fax:973-328-3405
Is Sole Proprietor?:No
Enumeration Date:2013-02-16
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI025150001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery