| NPI | 1770017626 |
|---|---|
| Doing Business As | IVERSON DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | AARON JAMES IVERSON Owner/Dentist 940-206-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401415112) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2017-04-18 |