Organization
NORTH BENTON DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA JANE POGANSKI (OFFICE MANAGER)
(320) 253-4206
Entity
Organization
Contact information
Practice address
400 N BENTON DR, SAUK RAPIDS, MN 56379-1535
(320) 253-4206
Mailing address
400 N BENTON DR, SAUK RAPIDS, MN 56379-1535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10858
MN
1223G0001X
General Practice Dentistry
D11796
MN
1223G0001X
General Practice Dentistry
D7468
MN
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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