Individual
DR. BRANDON R IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
190 GOOD DR, LANCASTER, PA 17603-2353
(717) 394-3033
Mailing address
190 GOOD DR, LANCASTER, PA 17603-2353
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS036260
PA
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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