| NPI | 1811121528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DURK V IRWIN Orthodontist/ Owner 360-883-6713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA 8025) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2009-05-08 |