Individual
RONALD ANGELO CANNIZZARO
Active
Individual
RONALD ANGELO CANNIZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019014811
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021000899
IL
Other
Enumeration date
12/15/2006
Last updated
04/07/2020
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