Individual
DR. BENJAMIN SCOTT FENGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
319 AEROMEDICAL-DENTAL SQUADRON/SGGD, 1599 J ST. BLDG. 109A, GRAND FORKS AFB, ND 58205
(701) 747-5393
Mailing address
1901 24TH AVE S, GRAND FORKS, ND 58201-6285
(612) 232-5678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11930
MN
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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