Individual
DR. PENELOPE J LEGGOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
(360) 424-3811
(360) 424-8703
Mailing address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
(360) 424-3811
(360) 424-8703
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE00007102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5017173
—
WA
01
—
D33488
DENTAL LICENSE
CA
Enumeration date
05/25/2007
Last updated
05/14/2015
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