Kurt Owen Iverson, D.D.S.

NPI #1275608804 in Preston, Idaho

Provider Information

NPI Number: 1275608804
Entity Type: Individual
Name: Kurt Owen Iverson, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 135 S STATE ST
City: Preston
State: Idaho
ZIP Code: 83263-1240
Phone: (208) 852-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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