Individual
MAREN ELIZABETH IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6545 FRANCE AVE S STE 390, EDINA, MN 55435-2121
(952) 926-3534
Mailing address
6545 FRANCE AVE S STE 390, EDINA, MN 55435-2121
(952) 926-3534
(952) 926-7085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14529
MN
390200000X
Student in an Organized Health Care Education/Training Program
R776
MN
Other
Enumeration date
10/26/2020
Last updated
07/01/2021
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