Individual
DR. JOHN CHARLES BENGTSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
300 SOUTH PARK ST., FAIRFAX, MN 55332
(507) 426-7794
(507) 426-7794
Mailing address
300 SOUTH PARK ST., FAIRFAX, MN 55332-0484
(507) 426-7794
(507) 426-7794
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6844
MN
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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