Organization
DOMINICK CANNATA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINICK CANNATA DDS (PRESIDENT)
(708) 755-4902
Entity
Organization
Contact information
Practice address
171 WEST 10TH STREET, CHICAGO HEIGHTS, IL 60411
(708) 755-4902
(708) 755-4971
Mailing address
171 WEST 10TH STREET, CHICAGO HEIGHTS, IL 60411
(708) 755-4902
(708) 755-4971
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
05/26/2006
Last updated
04/01/2008
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