Organization
CHRISTOPHER P. MCABOY DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PATRICK MCABOY DDS (SURGEON/OWNER)
(414) 906-8940
Entity
Organization
Contact information
Practice address
377 W RIVER WOODS PKWY # 120, GLENDALE, WI 53212-1088
(414) 906-8940
Mailing address
377 W RIVER WOODS PKWY # 120, GLENDALE, WI 53212-1088
(414) 906-8940
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5603-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003823436
—
WI
Enumeration date
03/04/2011
Last updated
03/04/2011
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