Patricia Deanne Cannon D.D.S.

NPI 1063404176 - Dentist - 1223G0001X

NPI Details
NPI 1063404176
Gender Female
Enumeration Date 08/16/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
411 W NEW ORLEANS ST
BROKEN ARROW OK, 74011-2218, US
Phone (918) 455-4242
Fax (918) 455-4244
Business Location
411 W NEW ORLEANS ST
BROKEN ARROW OK, 74011-2218, US
Phone (918) 455-4242
Fax (918) 455-4244
Toxanomy
Taxonomy Code 1223G0001X
License State Oklahoma
License Number 5218
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According to our database, Dr. Patricia Deanne Cannon D.D.S. NPI is 1063404176, taxonomy code is 1223G0001X and license number is 5218, license state is located at Oklahoma. Patricia Deanne Cannon D.D.S. physically located at 411 W New Orleans St, Broken Arrow OK, 74011-2218. NPI Number Patricia Deanne Cannon D.D.S. has the Individual type.

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1063404176 NPI number is provided on an as is basis without warranty of any kind. 1063404176 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Deanne Cannon D.D.S. are for informational purposes only.