Dr. Walter Pierog, D.M.D.
Dentist, General Practice in South Windsor, CT. Individual provider (NPI-1).
NPI number1285643361
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285643361
- Entity type
- Individual (NPI-1)
- Name
- Dr. Walter Pierog
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 006392 | CT | Yes |
Practice location
866 Foster Street ExtSouth Windsor, CT 06074-2116
Phone 860-644-4209 · Fax 860-644-6646
Mailing address
866 Foster Street ExtSouth Windsor, CT 06074-2116
Phone 860-644-4209 · Fax 860-644-6646
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