Organization · Type 2 NPI

Russell W. Cannon DDS Apc

Dental Clinic/Center · Irvine, CA

NPI number 1912544768 Active

Practice location

14150 Culver Dr Ste 200
Irvine, CA 92604-0322

Call (949) 552-7874 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1912544768

Russell W. Cannon DDS Apc's National Provider Identifier is 1912544768, issued on Nov 27, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Irvine, CA. The record was last updated on Nov 27, 2019.