DR. Kelly Rae Irwin, DMD

NPI #1598295354 in Monroe, Washington

Provider Information

NPI Number
1598295354
Entity Type
Individual
Name
DR. Kelly Rae Irwin, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 14, 2017
Last Updated
Jun 14, 2017

Practice Location

Address
14650 N KELSEY ST STE 104-105
City
Monroe
ZIP Code
98272-1456
Phone
(360) 694-8580

Specialties & Taxonomy Codes

Specialty
Dentist

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