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Organization

DR. GEOFFREY A. IVERSON, D.D.S., LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEOFFREY ALLEN IVERSON D.D.S. (PRESIDENT)
(507) 364-7424
Entity
Organization

Contact information

Practice address
223 1ST ST S, MONTGOMERY, MN 56069-1601
(507) 364-7424
Mailing address
223 1ST ST S, P.O. BOX 23, MONTGOMERY, MN 56069-1601
(507) 364-7424
(507) 364-7727

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9174
MN

Other

Enumeration date
09/06/2007
Last updated
09/06/2007
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