Individual
DR. PETER IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 NUCLEUS AVE, COLUMBIA FALLS, MT 59912-4010
(406) 892-2104
Mailing address
4060 FAIRMOUNT AVE, DENTAL, SAN DIEGO, CA 92105-1608
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23727
MT
Other
Enumeration date
02/11/2016
Last updated
03/09/2023
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