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Individual

DR. KIRBY MARTIN NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
26250 238TH LN SE STE 102, MAPLE VALLEY, WA 98038-4000
(425) 413-2121
(425) 358-7290
Mailing address
26250 238TH LN SE STE 102, MAPLE VALLEY, WA 98038-4000
(425) 413-2121
(425) 358-7290

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00007702
WA

Other

Enumeration date
01/12/2023
Last updated
01/12/2023
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