Individual
DR. BENJAMIN ISAIAH FRIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2029 OLDE REGENT WAY, #150, LELAND, NC 28451-4195
(910) 371-9490
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(910) 371-9490
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10315
NC
122300000X
Dentist
D10359
OR
Other
Enumeration date
12/01/2015
Last updated
06/14/2016
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