Individual
DR. BRUCE H KLOCKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
370 3RD AVE S, PARK FALLS, WI 54552-1228
(715) 762-2188
Mailing address
W6750 MOHRBACH RD, PARK FALLS, WI 54552-6927
(715) 762-3313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2985
WI
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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