Robert A. Wallock

NPI #1952599573 in Brookfield, Wisconsin

Provider Information

NPI Number: 1952599573
Entity Type: Individual
Name: Robert A. Wallock
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Oct 9, 2007
Last Updated: Nov 10, 2016

Practice Location

Address: 12720 W NORTH AVE
City: Brookfield
State: Wisconsin
ZIP Code: 53005-4637
Phone: (262) 784-0053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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Organizations

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