Organization
MARKET SQUARE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER J LECKOWICZ JR. DMD (OWNER)
(860) 667-0818
Entity
Organization
Contact information
Practice address
51 MARKET SQ, NEWINGTON, CT 06111-2912
(860) 667-0818
(860) 666-7185
Mailing address
51 MARKET SQ, NEWINGTON, CT 06111-2912
(860) 667-0818
(860) 666-7185
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
007677
CT
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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