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1912544768
RUSSELL W. CANNON DDS APC
IRVINE, CA
NPI
1912544768
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Entity Type
Organization
Authorized Contact
RUSSELL WAYNE CANNON
President/Owner
949-552-7874
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-11-27
Last Update Date
2019-11-27
Business Address
RUSSELL W. CANNON DDS APC
14150 CULVER DR STE 200
IRVINE, CA 92604-0322
Phone number: 949-552-7874
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Mailing Address
RUSSELL W. CANNON DDS APC
14150 CULVER DR STE 200
IRVINE, CA 92604-0322
Phone number: 949-552-7874
Copy
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