Individual
DR. JEFFREY ALAN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
850 E 9400 S STE 201, SANDY, UT 84094-4118
(801) 571-9664
Mailing address
850 E 9400 S STE 201, SANDY, UT 84094-4118
(801) 571-9664
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5128570-9922
UT
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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