Individual
DR. ANTHONY FRANCIS BENASSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3600 E STATE ST, SUITE 308, ROCKFORD, IL 61108-1978
(815) 397-2752
Mailing address
810 STEPHANIE LN, WINNEBAGO, IL 61088-8342
(815) 335-7447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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