Individual
DR. VICTOR WALLOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2 FOREST PARK DR, FARMINGTON, CT 06032-1445
(860) 677-1095
(860) 676-1811
Mailing address
2 FOREST PARK DR, FARMINGTON, CT 06032-1445
(860) 677-1095
(860) 676-1811
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5416
CT
Other
Enumeration date
05/24/2005
Last updated
07/08/2007
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