SearchIdaho1223G0001X

Gregory Bengtson, D.D.S

NPI 1225257041 · on the registry since 2007 · sole proprietor

Practice

Address
602 11th Ave
Lewiston, ID 83501
Phone
(208) 746-6200

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho