Individual
DR. WALTER PIEROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
866 FOSTER STREET EXT, SOUTH WINDSOR, CT 06074-2116
(860) 644-4209
(860) 644-6646
Mailing address
866 FOSTER STREET EXT, SOUTH WINDSOR, CT 06074-2116
(860) 644-4209
(860) 644-6646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006392
CT
Other
Enumeration date
08/06/2006
Last updated
07/08/2007
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