Organization
ELMBROOK ORAL & MAXILLOFACIAL SURGERY ASSOC., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT A. WALLOCK D.D.S. (PRESIDENT)
(262) 784-0053
Entity
Organization
Contact information
Practice address
12720 W NORTH AVE, BROOKFIELD, WI 53005-4637
(262) 784-0053
(262) 784-0757
Mailing address
12720 W NORTH AVE, BROOKFIELD, WI 53005-4637
(262) 784-0053
(262) 784-0757
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4138-015
WI
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us