Russell W. Cannon Dds Apc Dental Clinic

Get detailed information about Russell W. Cannon Dds Apc dental clinic in Irvine California.
Russell W. Cannon Dds Apc (RUSSELL W. CANNON DDS APC) is a Dental Clinic in Irvine, California. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Russell W. Cannon Dds Apc is 1912544768.

The current location address for Russell W. Cannon Dds Apc is 14150 Culver Dr Ste 200, , Irvine, California and the contact number is 949-552-7874 and fax number is --. The mailing address for Russell W. Cannon Dds Apc is 14150 Culver Dr Ste 200, , Irvine, California - 92604-0322 (mailing address contact number - 949-552-7874).


Provider Profile Details:
Clinic NameRussell W. Cannon Dds Apc
Provider OrganizationRUSSELL W. CANNON DDS APC
Address14150 Culver Dr Ste 200, ,
Irvine
California, 92604-0322
Phone Number949-552-7874
Fax Number--
Authorized Official NameDr. Russell Wayne Cannon
Authorized Official Title/PositionPresident/owner
Authorized Official Contact Number949-552-7874
NPI Number Details:
NPI Number1912544768
Provider Enumeration Date11/27/2019
Last Update Date03/02/2021
Provider Business Mailing Address Details:
Address14150 Culver Dr Ste 200,
CityIrvine
StateCalifornia
Zip92604-0322
Phone Number949-552-7874
Fax Number--
Provider's Primary Taxonomy Details:
TypeAmbulatory Health Care Facilities
SpecialityClinic/center - Dental
Taxonomy261QD0000X

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