Individual
ANTHONY CANNILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
170 CHANGEBRIDGE RD BLDG A41, MONTVILLE, NJ 07045-9111
(973) 882-1516
Mailing address
2 RAND RD, PINE BROOK, NJ 07058-9756
(973) 600-3500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02243900
NJ
Other
Enumeration date
07/19/2007
Last updated
07/21/2020
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