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Organization

FREESE & BENGTSON FAMILY DENTISTRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN R BENGTSON DMD (OWNER)
(603) 228-3384
Entity
Organization

Contact information

Practice address
16 WALL ST, CONCORD, NH 03301-3743
(603) 228-3384
(603) 228-3366
Mailing address
16 WALL STREET, CONCORD, NH 03301
(603) 228-3384
(603) 228-3366

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2099
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30313381
NH
Enumeration date
02/19/2008
Last updated
07/02/2013
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