Individual
BENJAMIN CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
828 HAWTHORNE AVE. E, ST. PAUL, MN 55106
(651) 774-2959
(651) 774-1997
Mailing address
828 HAWTHORNE AVE. E, ST. PAUL, MN 55106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12541
MN
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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