Individual
DR. DANIEL J IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
701 S MAIN ST., WESTBY, WI 54667
(608) 634-3006
Mailing address
701 S MAIN ST., WESTBY, WI 54667
(608) 634-3006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7874
WI
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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