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1487612057
WILLIAM WALTER IVERSEN
FORT COLLINS, CO
NPI
1487612057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CO 104735)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM WALTER IVERSEN DDS MS
1103 S SHIELDS
FORT COLLINS, CO 80521
Phone number: 970-484-3214
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Mailing Address
Dr. WILLIAM WALTER IVERSEN DDS MS
1103 S SHIELDS
FORT COLLINS, CO 80521
Phone number: 970-484-3214
Copy
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