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26250 238th Ln Se Ste 102 Maple Valley WA 98038-4000 | |
| (425) 413-2121 | |
| (425) 358-7290 |
| Full Name | |
|---|---|
| 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 |
|---|---|
26250 238th Ln Se Ste 102 Maple Valley WA 98038-4000 Ph: (425) 413-2121 | 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 |
L Carlos Morales Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23925 225th Way Se, Ste A, Maple Valley, WA 98038 Phone: 425-432-0561 Fax: 425-432-2938 | |
Maple Valley Dentistry Professionals Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24015 Se Kent Kangley Rd, Suite C, Maple Valley, WA 98038 Phone: 425-433-0600 Fax: 425-433-0877 | |
Joel M Rude Dmd Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 22142 Se 237th Street, Maple Valley, WA 98038 Phone: 425-432-1292 Fax: 425-432-0192 | |
Ludu Sharma Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23866 Se Kent Kangley Rd, Maple Valley, WA 98038 Phone: 425-413-8505 Fax: 425-413-8144 | |