NPI | 1376841015 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER PATRICK MCABOY Surgeon/Owner 414-906-8940 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WI 5603-015) |
Enumeration Date | 2011-03-04 |
Last Update Date | 2011-03-04 |