Peter B. Iversen Jr., DDS, PLLC.
Clinic/Center, Dental in Seattle, WA. Organization (NPI-2).
NPI number1093376576
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1093376576
- Entity type
- Organization (NPI-2)
- Legal business name
- Peter B. Iversen Jr., DDS, PLLC.
- Organization subpart
- No
- Enumeration date
- Jun 25, 2019
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Junction Dental (Doing Business As)
Practice location
4700 42nd Ave Sw Ste 555Seattle, WA 98116-4583
Phone 206-935-5522
Mailing address
4700 42nd Ave Sw Ste 555Seattle, WA 98116-4583
Authorized official
Peter B. Iversen
Owner
2064038651
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