Individual
DR. THOMAS ALLEN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
871 GRAY AVE, YUBA CITY, CA 95991-3635
(530) 671-2940
(530) 671-5173
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
06/13/2005
Last updated
08/02/2010
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