| Peter B. Iversen Jr., Dds, Pllc. | |
|
4700 42nd Ave Sw Ste 555 Seattle WA 98116-4583 | |
| (206) 935-5522 | |
| Not Available |
| Full Name | Peter B. Iversen Jr., Dds, Pllc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4700 42nd Ave Sw Ste 555, Seattle, Washington |
| Authorized Official Name and Position | Peter B. Iversen (OWNER) |
| Authorized Official Contact | 2064038651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter B. Iversen Jr., Dds, Pllc. 4700 42nd Ave Sw Ste 555 Seattle WA 98116-4583 Ph: () - | Peter B. Iversen Jr., Dds, Pllc. 4700 42nd Ave Sw Ste 555 Seattle WA 98116-4583 Ph: (206) 935-5522 |
| NPI Number | 1093376576 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093376576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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