Individual
DR. PETER B IVERSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4700 42ND AVE SW STE 555, SEATTLE, WA 98116-4583
(206) 935-5522
Mailing address
3453 39TH AVE SW, SEATTLE, WA 98116-3415
(206) 403-8651
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60283265
WA
Other
Enumeration date
04/22/2011
Last updated
10/23/2023
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