| Kirby Nelson Orthodontics | |
|
26250 238th Ln Se Ste 102 Maple Valley WA 98038-4000 | |
| (425) 413-2121 | |
| (425) 358-7290 |
| Full Name | Kirby Nelson Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 26250 238th Ln Se Ste 102, Maple Valley, Washington |
| Authorized Official Name and Position | Kirby Martin Nelson (PRESIDENT) |
| Authorized Official Contact | 4254132121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirby Nelson Orthodontics 26250 238th Ln Se Ste 102 Maple Valley WA 98038-4000 Ph: (425) 413-2121 | Kirby Nelson Orthodontics 26250 238th Ln Se Ste 102 Maple Valley WA 98038-4000 Ph: (425) 413-2121 |
| NPI Number | 1861586083 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861586083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00007702 (Washington) | Primary |
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