Organization
IVERSON-VOTA, A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS ALLEN IVERSON DDS,MS (PRESIDENT)
(530) 671-2940
Entity
Organization
Contact information
Practice address
871 GRAY AVE, YUBA CITY, CA 95991-3635
(530) 671-2940
(530) 671-7859
Mailing address
871 GRAY AVE, YUBA CITY, CA 95991-3635
(530) 671-2940
(530) 671-5173
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33473
CA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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