DR. Michael Lawrence Gannon, D.M.D.
NPI #1316096480 in Vienna, Virginia
Provider Information
- NPI Number
- 1316096480
- Entity Type
- Individual
- Name
- DR. Michael Lawrence Gannon, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Periodontics
- Credential
- D.M.D.
- Enumeration Date
- Jan 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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