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Robert A. Wallock
Oral and Maxillofacial Surgery (Dentist) in Brookfield, Wisconsin
NPI 1952599573

Robert A. Wallock is a Oral and Maxillofacial Surgery (Dentist) based in Brookfield, WI and is specialized in Oral and Maxillofacial Surgery. Robert A. Wallock practices in Brookfield, WI. The NPI Number for Robert A. Wallock is 1952599573 and holds a License No. 4138-015 (Wisconsin).

The current practice location address for Robert A. Wallock is 12720 W North Ave, Brookfield, WI and can be reached out via phone at 262-784-0053.

Location: 12720 W North Ave, Brookfield, WI, 53005-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952599573
Provider Name
Robert A. Wallock
Credential
Provider Entity Type
Individual
Gender
Male
Address
12720 W North Ave, Brookfield, WI, 53005-4637
Phone Number
262-784-0053
Fax Number
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1366586224 01 TYPE 2 NPI
institution
Provider Business Practice Location Address Details
Address
12720 W North Ave
City
Brookfield
State
Wisconsin
Zip
53005-4637
Phone Number
262-784-0053
Fax Number
person
Provider Business Mailing Address Details
Address
12720 W North Ave
City
Brookfield
State
Wisconsin
Zip
53005-4637
Phone Number
262-784-0053
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
4138-015 (Wisconsin)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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