DANIEL SIMMONDS CANNON

URBANA, IL
NPI1013176098
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  1418301)
Enumeration Date2008-06-05
Last Update Date2008-06-05
Business Address
-- DANIEL SIMMONDS CANNON
611 W PARK ST
URBANA, IL 61801
Phone number: 217-383-3280
Mailing Address
-- DANIEL SIMMONDS CANNON
611 W PARK ST
URBANA, IL 61801
Phone number:
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