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Individual

JOHN DANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
60 CHURCH ST, CANAAN, CT 06018-2481
(347) 267-1699
Mailing address
60 CHURCH ST, CANAAN, CT 06018-2481
(347) 267-1699

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10357
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008032193
CT
Enumeration date
06/29/2009
Last updated
06/23/2014
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