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Russell W. Cannon Dds Apc
Dental Clinic/Center in Irvine, California
NPI 1912544768

Russell W. Cannon Dds Apc is a Dental Clinic/Center based in Irvine, CA and is specialized in Dental. Russell W. Cannon Dds Apc practices in Irvine, CA. The NPI Number for Russell W. Cannon Dds Apc is 1912544768 and holds a License No. (California).

The current practice location address for Russell W. Cannon Dds Apc is 14150 Culver Dr Ste 200, Irvine, CA and can be reached out via phone at 949-552-7874.

Location: 14150 Culver Dr Ste 200, Irvine, CA, 92604-0322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912544768
Provider Name
Russell W. Cannon Dds Apc
Credential
Provider Entity Type
Organization
Address
14150 Culver Dr Ste 200, Irvine, CA, 92604-0322
Phone Number
949-552-7874
Fax Number
Provider Enumeration Date
11/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14150 Culver Dr Ste 200
City
Irvine
State
California
Zip
92604-0322
Phone Number
949-552-7874
Fax Number
person
Provider Business Mailing Address Details
Address
14150 Culver Dr Ste 200
City
Irvine
State
California
Zip
92604-0322
Phone Number
949-552-7874
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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