MICHAEL LAWRENCE GANNON

VIENNA, VA
NPI1316096480
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: VA  6214)
Enumeration Date2007-01-09
Last Update Date2007-07-08
Business Address
Dr. MICHAEL LAWRENCE GANNON D.M.D.
138 CHURCH ST NE
VIENNA, VA 22180-4543
Phone number: 703-938-6022
Mailing Address
Dr. MICHAEL LAWRENCE GANNON D.M.D.
138 CHURCH ST NE
VIENNA, VA 22180-4543
Phone number: 703-938-6022
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