KURT OWEN IVERSON

PRESTON, ID
NPI1275608804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3402)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
-- KURT OWEN IVERSON D.D.S.
135 S STATE ST
PRESTON, ID 83263-1240
Phone number: 208-852-3700
Mailing Address
-- KURT OWEN IVERSON D.D.S.
135 S STATE ST
PRESTON, ID 83263-1240
Phone number: 208-852-3700
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