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 |
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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 |
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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 |
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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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