Individual
BRIDGET LOUISE FENSHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
107 7TH AVE SOUTH, SOUTH ST PAUL, MN 55075
(651) 451-1894
(651) 451-1894
Mailing address
107 7TH AVE SOUTH, SOUTH ST PAUL, MN 55075
(651) 451-1894
(651) 451-1894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9240
MN
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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