NPI 1033128954

Walter John Leckowiczjr, DMD

Practitioner Prosthodontics Newington, CT

Practice location

Address: 103 Market Sq, Newington, CT 06111-2914
Phone: (860) 666-1466
Mailing address: 103 Market Sq, Newington, CT 06111

Registered specialties

Prosthodontics Primary

Dental Providers Taxonomy 1223P0700X Licence 007677 (CT)

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Registry record

NPI: 1033128954
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.