| NPI | 1780979138 |
|---|---|
| Doing Business As | IVERSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY A IVERSON Orthodontist 801-571-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |