Individual
LAURA BETH IVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91-226 LELEOI PL, EWA BEACH, HI 96706-4642
(845) 249-8488
Mailing address
91-226 LELEOI PL, EWA BEACH, HI 96706-4642
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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