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Organization
JIM IVERSTINE, D.D.S., APC
Active
Organization
JIM IVERSTINE, D.D.S., APC
Active
Other names
Jim Iverstine, D.D.S., APC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES V IVERSTINE DDS (DENTIST)
(318) 757-4561
Entity
Organization
Contact information
Practice address
207 SERIO BLVD, FERRIDAY, LA 71334-2014
(318) 757-4561
(318) 757-4595
Mailing address
207 SERIO BLVD, FERRIDAY, LA 71334-2014
(318) 757-4561
(318) 757-4595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1834190
—
LA
Enumeration date
12/14/2010
Last updated
12/14/2010
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