Individual
DR. RHONDA BETH HANSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
334 BARGRAVES BLVD, TROY, IL 62294
(618) 667-2004
(618) 667-2526
Mailing address
334 BARGRAVES BLVD, TROY, IL 62294
(618) 667-2004
(618) 667-2526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.022264
IL
122300000X
Dentist
019022264
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992713846
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
08/04/2006
Last updated
01/22/2010
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