Robert A. Wallock
Robert A. Wallock is an Oral and Maxillofacial Surgery (Dentist) in Brookfield, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
12720 W North AveBrookfield, WI 53005-4637
Phone: (262) 784-0053
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Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence 4138-015 (WI) |
|---|
Record details
| NPI number | 1952599573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2007 |
| Last updated in NPPES | November 10, 2016 |
| Mailing address | 12720 W North Ave, Brookfield, WI 53005-4637 |
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12720 W North Ave, Brookfield, WI 53005-4637 · (262) 784-0053