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1952599573
ROBERT A. WALLOCK
BROOKFIELD, WI
NPI
1952599573
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI 4138-015)
Enumeration Date
2007-10-09
Last Update Date
2016-11-10
Business Address
-- ROBERT A. WALLOCK
12720 W NORTH AVE
BROOKFIELD, WI 53005-4637
Phone number: 262-784-0053
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Mailing Address
-- ROBERT A. WALLOCK
12720 W NORTH AVE
BROOKFIELD, WI 53005-4637
Phone number: 262-784-0053
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