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1649387986
RUSSELL WAYNE CANNON
IRVINE, CA
NPI
1649387986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA D24279)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL WAYNE CANNON D.D.S.
14150 CULVER DR STE 200
IRVINE, CA 92604-0322
Phone number: 949-552-7874
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Mailing Address
Dr. RUSSELL WAYNE CANNON D.D.S.
14150 CULVER DR STE 200
IRVINE, CA 92604-0322
Phone number: 949-552-7874
Copy
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