NPI | 1841929106 |
---|---|
Doing Business As | IVERSON ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | CASEY LONABOCKER VP Operations & Strategy 617-535-3364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-06-09 |
Last Update Date | 2024-11-20 |