Laura Beth Iversen

NPI #1124671870 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1124671870
Entity Type: Individual
Name: Laura Beth Iversen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 91-226 LELEOI PL
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-4642
Phone: (845) 249-8488

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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