Individual
MR. JAMES C CANNAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4191
(406) 258-4180
Mailing address
323 W ALDER ST, MISSOULA, MT 59802-4123
(406) 258-4191
(406) 258-4180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2220
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE NUMBER
2220
MT
Enumeration date
12/18/2006
Last updated
07/08/2007
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