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Leonard Koltun, D.D.S. — NPI 1619969276, Mesa, AZ | NPI Central

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NPI 1619969276

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Leonard Koltun, D.D.S.

NPI 1619969276 · Periodontics · Mesa, AZ

Provider details

NPI number: 1619969276
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: D.D.S.
Sex: Male
Sole proprietor: No
License: 52806 (CA)

Specialties & taxonomies

PeriodonticsPrimary1223P0300XLicense D010172 (AZ)
Dental Providers
Periodontics1223P0300XLicense 52806 (CA)
Dental Providers

Practice location

1425 S Greenfield Rd Ste 110

Mesa, AZ 85206-5505

Phone: (480) 854-3434

Approximate (ZIP-level) locationGet directions

More AZ providers

Mailing address

761 E Snowy Farm Dr

Queen Creek, AZ 85140-7211

Registry dates

Enumerated: 2005-08-19
Last updated: 2021-07-06
Certified: 2021-07-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.