Individual
DR. MICHAEL WOLLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32 PARKING PLZ, 604 THE TIMES BLDG, SUBURBAN SQUARE, ARDMORE, PA 19003-2415
(610) 649-0313
Mailing address
32 PARKING PLZ, 604 THE TIMES BLDG, SUBURBAN SQUARE, ARDMORE, PA 19003-2415
(610) 649-0313
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 030219L
PA
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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