DR. Patrick J. Gannon, D.D.S.
NPI #1093925968 in Palos Heights, Illinois
Provider Information
- NPI Number
- 1093925968
- Entity Type
- Individual
- Name
- DR. Patrick J. Gannon, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- May 22, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7480 W COLLEGE DR
- Address 2
- SUITE 202
- City
- Palos Heights
- State
- Illinois
- ZIP Code
- 60463-1165
- Phone
- (708) 361-2288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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