Individual
DR. DANIEL WALTER IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
510 1ST AVE, TWO HARBORS, MN 55616-1504
(218) 834-2011
(218) 834-6028
Mailing address
510 1ST AVE, P.O. BOX 59, TWO HARBORS, MN 55616-1504
(218) 834-2011
(218) 834-6028
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8592
MN
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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