Individual
JESSICA LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1031 SE EVERETT MALL WAY STE 101, EVERETT, WA 98208-2833
(425) 426-2027
Mailing address
1031 SE EVERETT MALL WAY STE 101, EVERETT, WA 98208-2833
(425) 426-2077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61471975
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2023
Last updated
09/22/2023
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