Individual
DR. RUSSELL RICH CANNON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2045 VILLAGE CENTER CIR, LAS VEGAS, NV 89134-6251
(702) 878-5599
(702) 878-0173
Mailing address
2045 VILLAGE CENTER CIR, LAS VEGAS, NV 89134-6251
(702) 878-5599
(702) 878-0173
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6526
NV
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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