| NPI | 1891237285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY F BENASSI Dentist/Owner 815-397-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19023203) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |