Individual
DR. GEOFFREY ALLEN IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
223 1ST ST S # 23, MONTGOMERY, MN 56069-1601
(507) 364-7424
(507) 364-7727
Mailing address
223 1ST ST S # 23, MONTGOMERY, MN 56069-1601
(507) 364-7424
(507) 364-7727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9174
MN
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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