Organization
DENNIS D. IVERSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS D IVERSON D.D.S. (OWNER)
(503) 926-4183
Entity
Organization
Contact information
Practice address
3030 SE MONROE ST, MILWAUKIE, OR 97222-6637
(503) 659-7676
Mailing address
3030 SE MONROE ST, MILWAUKIE, OR 97222-6637
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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