Individual
LINDA MARIE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5860 ALEXIS RD, SYLVANIA, OH 43560-2347
(419) 882-7187
Mailing address
5860 ALEXIS RD, SYLVANIA, OH 43560-2347
(419) 882-7187
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
51-012650
OH
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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