NPI | 1740593417 |
---|---|
Other Name | JOSEPH W CANNON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA dds31582) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2019-04-12 |