# DR. JOSEPH E CANZONA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265411276
- **Gender:** Man
- **Credential:** DDS, MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 19-13567 | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 21-000762 | IL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 36-064858 | IL | — |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 07/22/2008