| NPI | 1861586083 |
|---|---|
| Former Legal Business Name | KIRBY M NELSON DDS PS |
| Entity Type | Organization |
| Authorized Contact | KIRBY MARTIN NELSON President 425-413-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE00007702) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-01-27 |