Individual
DR. THOMAS JOSEPH CANAAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BUILDING 964 ENTERPRISE ST, JACKSONVILLE, FL 32214-0001
(904) 542-3441
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-3441
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
0401006620
VA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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