| William J. Cannon | |
|
8500 Wilshire Blvd #1018 Beverly Hills CA 90211-3121 | |
| (310) 289-1989 | |
| (310) 289-1661 |
| Full Name | William J. Cannon |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8500 Wilshire Blvd, Beverly Hills, California |
| Authorized Official Name and Position | William J Cannon (OWNER/DENTIST) |
| Authorized Official Contact | 3102891989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William J. Cannon 8500 Wilshire Blvd #1018 Beverly Hills CA 90211-3121 Ph: (310) 289-1989 | William J. Cannon 8500 Wilshire Blvd #1018 Beverly Hills CA 90211-3121 Ph: (310) 289-1989 |
| NPI Number | 1295049708 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295049708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 31582 (California) | Primary |
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