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Individual

DR. JOHN PAUL IVERSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
509 16TH AVE SW, WILLMAR, MN 56201-4118
(320) 235-7742
(320) 235-4045
Mailing address
509 16TH AVE SW, WILLMAR, MN 56201-4118
(320) 235-7742
(320) 235-4045

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11050
MN

Other

Enumeration date
05/13/2006
Last updated
07/08/2007
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