LEIGHTON KINGMA

SEATTLE, WA
NPI1659122984
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: WA  DE.61578292)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-27
Last Update Date2025-01-15
Business Address
LEIGHTON KINGMA
1959 NE PACIFIC ST
SEATTLE, WA 98195-0001
Phone number: 206-543-0903
Mailing Address
LEIGHTON KINGMA
1959 NE PACIFIC ST
SEATTLE, WA 98195-6365
Phone number: 206-543-0903