Individual
LEIGHTON KINGMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 543-0903
Mailing address
1959 NE PACIFIC ST, SEATTLE, WA 98195-6365
(206) 543-0903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE.61578292
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2024
Last updated
01/15/2025
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