Cory James Canavan DMD

NPI 1801184353 - Dentist - 1223G0001X

NPI Details
NPI 1801184353
Gender Male
Enumeration Date 07/19/2011
Last Updated 06/16/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
1601 SW ARCHER RD
ATTENT: DENTAL
GAINESVILLE FL, 32608-1135, US
Phone (352) 376-1611
Fax
Business Location
1601 SW ARCHER RD
ATTENT: DENTAL
GAINESVILLE FL, 32608-1135, US
Phone
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN 19451
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According to our database, Dr. Cory James Canavan DMD NPI is 1801184353, taxonomy code is 1223G0001X and license number is DN 19451, license state is located at Florida. Cory James Canavan DMD physically located at 1601 Sw Archer Rd, Gainesville FL, 32608-1135. NPI Number Cory James Canavan DMD has the Individual type.

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1801184353 NPI number is provided on an as is basis without warranty of any kind. 1801184353 is maintained by the National Plan & Provider Enumeration System. The contents of Cory James Canavan DMD are for informational purposes only.