Organization
SIGNATURE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANNE P BENISON DMD, MS (PRESIDENT)
(618) 659-2030
Entity
Organization
Contact information
Practice address
40A EDWARDSVILLE PROF PARK, EDWARDSVILLE, IL 62025-3602
(618) 659-2030
(618) 659-2035
Mailing address
40A EDWARDSVILLE PROF PARK, EDWARDSVILLE, IL 62025-3602
(618) 659-2030
(618) 659-2035
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
IL
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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