Individual
AARON JAMES IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6912 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-4806
(757) 898-5468
Mailing address
3016 S CHASE, WILLIAMSBURG, VA 23185-8732
(940) 206-1503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415112
VA
122300000X
Dentist
9294464-9922
UT
122300000X
Dentist
D1054
SD
1223G0001X
General Practice Dentistry
0401415112
VA
Other
Enumeration date
04/25/2014
Last updated
11/20/2024
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