ROBERT A. WALLOCK

BROOKFIELD, WI
NPI1952599573
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  4138-015)
Enumeration Date2007-10-09
Last Update Date2016-11-10
Business Address
-- ROBERT A. WALLOCK
12720 W NORTH AVE
BROOKFIELD, WI 53005-4637
Phone number: 262-784-0053
Mailing Address
-- ROBERT A. WALLOCK
12720 W NORTH AVE
BROOKFIELD, WI 53005-4637
Phone number: 262-784-0053
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