RUSSELL WAYNE CANNON

IRVINE, CA
NPI1649387986
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  D24279)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
Dr. RUSSELL WAYNE CANNON D.D.S.
14150 CULVER DR STE 200
IRVINE, CA 92604-0322
Phone number: 949-552-7874
Mailing Address
Dr. RUSSELL WAYNE CANNON D.D.S.
14150 CULVER DR STE 200
IRVINE, CA 92604-0322
Phone number: 949-552-7874