Organization
IVERSON & LARSEN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERN Q IVERSON D.D.S. (MANAGER)
(801) 745-3882
Entity
Organization
Contact information
Practice address
2627 N HIGHWAY 162, EDEN, UT 84310-9745
(801) 745-3882
(801) 745-6207
Mailing address
2627 N HIGHWAY 162, EDEN, UT 84310-9745
(801) 745-3882
(801) 745-6207
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
UT
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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