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Individual

DR. LEONARD AARON KOLTUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1425 S GREENFIELD RD STE 110, MESA, AZ 85206-5505
(480) 854-3434
Mailing address
761 E SNOWY FARM DR, QUEEN CREEK, AZ 85140-7211
(760) 613-7991

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
52806
CA
1223P0300X
Periodontics
Primary
D010172
AZ

Other

Enumeration date
08/19/2005
Last updated
07/06/2021
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