DR. Patricia Deanne Cannon, D.D.S.
NPI #1063404176 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1063404176
- Entity Type
- Individual
- Name
- DR. Patricia Deanne Cannon, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 16, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 411 W NEW ORLEANS ST
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74011-2218
- Phone
- (918) 455-4242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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