DR. Michael Wollock

NPI #1912064049 in Ardmore, Pennsylvania

Provider Information

NPI Number: 1912064049
Entity Type: Individual
Name: DR. Michael Wollock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 32 PARKING PLZ
Address 2: 604 THE TIMES BLDG, SUBURBAN SQUARE
City: Ardmore
State: Pennsylvania
ZIP Code: 19003-2415
Phone: (610) 649-0313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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