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Search › Wisconsin › 1223G0001X

Jacob Wallock, DDS

NPI 1902485725 · on the registry since 2021

Practice

Address
145 S Marr St
Fond Du Lac, WI 54935
Phone
(920) 922-9000
Organisation at this address
Maury Family Dental Llc
Fond Du Lac Family Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin