| 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 |