Individual
DR. MARYLOU C SABINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
840 N 87TH ST, ORAL AND MAXILLOFACIAL SURGERY, MILWAUKEE, WI 53226-3586
(414) 805-5760
(414) 259-9115
Mailing address
840 N 87TH ST, ORAL AND MAXILLOFACIAL SURGERY, MILWAUKEE, WI 53226-3586
(414) 805-5760
(414) 259-9115
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
5692
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008906261W
HUMANA
—
05
—
1912950221
—
WI
Enumeration date
05/18/2006
Last updated
02/25/2014
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