Individual
DR. LEIF EDWARD WASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 CHURCH ST, YALESVILLE, CT 06492-2253
(203) 265-7869
(203) 265-7860
Mailing address
300 CHURCH ST, YALESVILLE, CT 06492-2253
(203) 265-7869
(203) 265-7860
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
005203
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005203
CT DENTAL LICENSE
CT
Enumeration date
05/10/2007
Last updated
07/08/2007
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