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General NPI Number Information
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NPI Number | 1528925815
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Entity Type | Organization
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Legal Business Name | KELLY R GARWOOD DDS PLLC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 142 MAIN AVE N
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City | NORTH BEND
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State | WA
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Zip | 98045-8280
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Country | US
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Telephone | 425-888-0867
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Fax | 425-888-6585
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Provider Business Mailing Address
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Address Line | PO BOX 372
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City | NORTH BEND
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State | WA
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Zip | 98045-0372
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Country | US
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Telephone | 425-888-0867
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Fax | 425-888-6585
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELLY RAE GARWOOD
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Credential | DDS
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Telephone | 425-888-0867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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