Koltun, Leonard Aaron
Koltun, Leonard Aaron is an individual health care provider with primary practice located at 1425 S Greenfield Rd Ste 110 , Mesa AZ 85206-5505. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Koltun, Leonard Aaron can be contacted via phone (480) 854-3434.Contact Information
Primary practice address
1425 S Greenfield Rd Ste 110
Mesa AZ 85206-5505
Phone: (480) 854-3434
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 52806 | California |
| Dental Providers / Periodontics | 1223P0300X | D010172 | Arizona |
Profile Details
| NPI number | 1619969276 |
|---|---|
| LBN Legal business name | Koltun, Leonard Aaron |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 6th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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