# PENELOPE LEGGOTT DDS, MS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083093371
- **Authorized official:** PENELOPE LEGGOTT DDS, MS (DENTIST)
- **Authorized official phone:** (360) 424-3811

## Contact information

- **Practice address:** 2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
- **Practice address phone:** (360) 424-3811
- **Practice address fax:** (360) 424-8703
- **Mailing address:** 2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
- **Mailing address phone:** (360) 424-3811
- **Mailing address fax:** (360) 424-8703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7102 | WA | Yes |

## Other

- **Enumeration date:** 05/20/2015
- **Last updated:** 05/20/2015