| NPI | 1174638142 |
|---|---|
| Former Legal Business Name | STEVEN CHYBOWSKI |
| Entity Type | Organization |
| Authorized Contact | STEVEN ROBERT CHYBOWSKI Dentist 414-768-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WI 4919) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2010-03-10 |