Individual
PENNY M LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
23866 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038
(425) 413-8505
(425) 413-8144
Mailing address
4744 41ST AVE SW, #322, SEATTLE, WA 98116-4567
(425) 413-8505
(425) 413-8144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009675
WA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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