IVERSON & LARSEN DENTAL PLLC NPI 1073758843

NPI Information

IVERSON & LARSEN DENTAL PLLC is a dental clinic center in Eden, UT. IVERSON & LARSEN DENTAL PLLC NPI is 1073758843. The provider is registered as an organization entity type.

The provider's business location address is:

2627 N HIGHWAY 162
EDEN, UT
ZIP 84310-745
Phone: (801) 745-3882
Fax: (801) 745-6207

The provider's authorized official is Vern Q Iverson .
The authorized official title is Manager and has the following contact phone number (801) 745-3882.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 12/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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