Individual
SOPHIE BENGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
705 RIVARD ST STE 1, SOMERSET, WI 54025-7456
(715) 247-3318
Mailing address
2565 FRANKLIN AVE APT 311, SAINT PAUL, MN 55114-3003
(701) 240-7238
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D15032
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/11/2023
Last updated
06/20/2024
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