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