Provider Demographics
NPI:1962754358
Name:LEON-PINEDA, CRISTINA M (DMD, MPH, MSDS)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:M
Last Name:LEON-PINEDA
Suffix:
Gender:F
Credentials:DMD, MPH, MSDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:955 POWELL AVE SW
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2908
Mailing Address - Country:US
Mailing Address - Phone:425-277-1311
Mailing Address - Fax:425-277-1566
Practice Address - Street 1:126 AUBURN AVE STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5082
Practice Address - Country:US
Practice Address - Phone:253-804-8713
Practice Address - Fax:253-804-8755
Is Sole Proprietor?:No
Enumeration Date:2012-10-09
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342891223P0221X
CODEN.002048681223P0221X
WADE60310679122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0221XDental ProvidersDentistPediatric Dentistry