# TODD R IRWIN DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Irwin Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336458074
- **Authorized official:** DR. TODD R IRWIN DMD (OWNER)
- **Authorized official phone:** (360) 457-0489

## Contact information

- **Practice address:** 620 E. 8TH STREET, PORT ANGELES, WA 98362
- **Practice address phone:** (360) 457-0489
- **Practice address fax:** (360) 452-3288
- **Mailing address:** 620 E. 8TH STREET, PORT ANGELES, WA 98362
- **Mailing address phone:** (360) 457-0489
- **Mailing address fax:** (360) 452-3288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7928 | WA | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 07/03/2013