Individual
WALTER JOHN LECKOWICZJR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
103 MARKET SQ, NEWINGTON, CT 06111-2914
(860) 666-1466
Mailing address
103 MARKET SQ, NEWINGTON, CT 06111
(860) 666-1466
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
007677
CT
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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