Walter Pierog Dmd | |
866 Foster Street Ext South Windsor CT 06074-2116 | |
(860) 644-4209 | |
(860) 644-6646 |
Full Name | Walter Pierog Dmd |
---|---|
Speciality | Dentist - General Practice |
Location | 866 Foster Street Ext, South Windsor, Connecticut |
Authorized Official Name and Position | Walter Pierog (OWNER) |
Authorized Official Contact | 8606444209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Walter Pierog Dmd 866 Foster Street Ext South Windsor CT 06074-2116 Ph: (860) 644-4209 | Walter Pierog Dmd 866 Foster Street Ext South Windsor CT 06074-2116 Ph: (860) 644-4209 |
NPI Number | 1477681237 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477681237 | NPI | - | NPPES |
1285643361 | Other | CT | 1223G0001X |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 006392 (Connecticut) | Primary |
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