Anthony F Benassi DDS LLC
Dentist, General Practice in Rockford, IL. Organization (NPI-2).
NPI number1891237285
StatusActive
Last updated in NPPESNov 16, 2016
Details
- NPI
- 1891237285
- Entity type
- Organization (NPI-2)
- Legal business name
- Anthony F Benassi DDS LLC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2016
- Last updated
- Nov 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19023203 | IL | Yes |
Practice location
735 N Perryville RdSuite 2
Rockford, IL 61107-6236
Phone 815-397-2752 · Fax 815-397-2759
Mailing address
735 N Perryville RdSuite 2
Rockford, IL 61107-6236
Phone 815-397-2752 · Fax 815-397-2759
Authorized official
Anthony F Benassi
Dentist/Owner
8153972752
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