Organization
ANTHONY F BENASSI DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY F BENASSI DDS (DENTIST/OWNER)
(815) 397-2752
Entity
Organization
Contact information
Practice address
735 N PERRYVILLE RD, SUITE 2, ROCKFORD, IL 61107-6236
(815) 397-2752
(815) 397-2759
Mailing address
735 N PERRYVILLE RD, SUITE 2, ROCKFORD, IL 61107-6236
(815) 397-2752
(815) 397-2759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19023203
IL
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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