Paul Roy Bengtson, DDS

NPI #1225203359 in Blackduck, Minnesota

Provider Information

NPI Number: 1225203359
Entity Type: Individual
Name: Paul Roy Bengtson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Apr 29, 2008
Last Updated: Apr 29, 2008

Practice Location

Address: 49 SUMMIT AVE E
City: Blackduck
State: Minnesota
ZIP Code: 56630
Phone: (218) 835-4227

Specialties & Taxonomy Codes

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

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