GREGORY JOHN BENGTSON

LEWISTON, ID
NPI1225257041
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D1739)
Enumeration Date2007-04-24
Last Update Date2007-07-08
Business Address
Dr. GREGORY JOHN BENGTSON D.D.S.
602 11TH AVE
LEWISTON, ID 83501-2837
Phone number: 208-746-6200
Mailing Address
Dr. GREGORY JOHN BENGTSON D.D.S.
602 11TH AVE
LEWISTON, ID 83501-2837
Phone number: 208-746-6200
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