| Christopher P. Mcaboy Dds, Llc | |
|
377 W River Woods Pkwy # 120 Glendale WI 53212-1088 | |
| (414) 906-8940 | |
| Not Available |
| Full Name | Christopher P. Mcaboy Dds, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 377 W River Woods Pkwy # 120, Glendale, Wisconsin |
| Authorized Official Name and Position | Christopher Patrick Mcaboy (SURGEON/OWNER) |
| Authorized Official Contact | 4149068940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher P. Mcaboy Dds, Llc 377 W River Woods Pkwy # 120 Glendale WI 53212-1088 Ph: (414) 906-8940 | Christopher P. Mcaboy Dds, Llc 377 W River Woods Pkwy # 120 Glendale WI 53212-1088 Ph: (414) 906-8940 |
| NPI Number | 1376841015 |
|---|---|
| Provider Enumeration Date | 03/04/2011 |
| Last Update Date | 03/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376841015 | NPI | - | NPPES |
| 1003823436 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5603-015 (Wisconsin) | Primary |
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