Individual
DR. VINCENT STEPHEN MCAVOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1751 E. MAIN ST., WAUKESHA, WI 53186-3940
(262) 544-1755
(262) 544-1409
Mailing address
1751-E.MAIN ST., WAUKESHA, WI 53186-3940
(262) 544-1755
(262) 544-1409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001417
WI
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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