Organization
PROGRESSIVE PEDIATRIC DENTIST SC
Active
Other names
Steven Chybowski
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN ROBERT CHYBOWSKI (DENTIST)
(414) 768-1020
Entity
Organization
Contact information
Practice address
8375 S HOWELL AVE, #201, OAK CREEK, WI 53154-8344
(414) 768-1020
(414) 768-8866
Mailing address
8375 S HOWELL AVE, #201, OAK CREEK, WI 53154-8344
(414) 768-1020
(414) 768-8866
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4919
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38393100
—
WI
Enumeration date
08/20/2006
Last updated
03/10/2010
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