Individual
DR. JOSEPH BENTON ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1400 STATE RD F, REZNICEK DENTAL GROUP LLC, WAYNESVILLE, MO 65583
(573) 774-6101
(573) 774-6812
Mailing address
1400 STATE RD F, REZNICEK DENTAL GROUP LLC, WAYNESVILLE, MO 65583
(573) 774-6101
(573) 774-6812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
014345
MO
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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