Organization
DANIEL CANNON, DDS, ORAL AND MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SIMMONDS CANNON DDS (OWNER)
(918) 743-1351
Entity
Organization
Contact information
Practice address
4608 S HARVARD AVE, SUITE C, TULSA, OK 74135-2913
(918) 743-1351
(918) 743-7329
Mailing address
4608 S HARVARD AVE, SUITE C, TULSA, OK 74135-2913
(918) 743-1351
(918) 743-7329
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
158
IL
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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