Carla Denise Cannon, RDA
NPI #1992350359 in Hawthorne, California
Provider Information
- NPI Number
- 1992350359
- Entity Type
- Individual
- Name
- Carla Denise Cannon, RDA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dental Assistant
- Credential
- RDA
- Enumeration Date
- Aug 2, 2019
- Last Updated
- Aug 2, 2019
Practice Location
- Address
- 14030 CHADRON AVE APT 219
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-8247
- Phone
- (424) 789-4665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Assistant |
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