Individual
PAUL D TYBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1270 W CHESTNUT ST, WEST BEND, WI 53095
(262) 334-0316
(262) 334-0430
Mailing address
1270 W CHESTNUT ST, WEST BEND, WI 53095
(262) 334-0316
(262) 334-0430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001341015
WI
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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