Individual
DR. ROXANNE PATRICIA BENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD MS
Contact information
Practice address
22 GLEN ED PROFESSIONAL PARK STE B, GLEN CARBON, IL 62034-3300
(618) 659-2030
(618) 659-2035
Mailing address
22 GLEN ED PROFESSIONAL PARK B, GLEN CARBON, IL 62034-3300
(618) 659-2030
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
021-002093
IL
Other
Enumeration date
07/17/2006
Last updated
10/15/2019
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