Elmbrook Oral & Maxillofacial Surgery Assoc , SC
Elmbrook Oral & Maxillofacial Surgery Assoc , SC is an Oral and Maxillofacial Surgery (Dentist) in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
12720 W North AveBrookfield, WI 53005-4637
Phone: (262) 784-0053
Fax: (262) 784-0757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 4138-015 (WI) |
|---|
Record details
| NPI number | 1366586224 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Wallock — President · (262) 784-0053 |
| NPI enumerated | February 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12720 W North Ave, Brookfield, WI 53005-4637 |
Other providers in Brookfield
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Robert A. Wallock
12720 W North Ave, Brookfield, WI 53005-4637 · (262) 784-0053