Individual provider · Type 1 NPI

Leonard Aaron Koltun, DDS

Periodontics · Mesa, AZ

NPI number 1619969276 Active

Practice location

1425 S Greenfield Rd Ste 110
Mesa, AZ 85206-5505

Mailing address

761 E Snowy Farm Dr
Queen Creek, AZ 85140-7211

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X52806 (CA)
Periodontics Primary 1223P0300XD010172 (AZ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1619969276

Leonard Aaron Koltun, DDS's National Provider Identifier is 1619969276, issued on Aug 19, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Mesa, AZ. The record was last updated on Jul 6, 2021.