Individual
DR. ROBERT F. CANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1200 RIVER AVE, SUITE 3B, LAKEWOOD, NJ 08701-5657
(732) 367-8200
(732) 367-8209
Mailing address
1200 RIVER AVE, SUITE 3B, LAKEWOOD, NJ 08701-5657
(732) 367-8200
(732) 367-8209
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01053800
NJ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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