DR. PHILLIP CANNIZZARO, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1629130620
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 19A13321 (IL) |
Frequently Asked Questions
NPI 1629130620 is the National Provider Identifier for DR. PHILLIP CANNIZZARO, D.D.S., a Dentist - General Practice provider located in North Riverside, IL. This NPI was enumerated on December 15, 2006.
DR. PHILLIP CANNIZZARO, D.D.S. practices at 3006 DESPLAINES AVE, North Riverside, IL 60546.
Quick Facts
- NPI
- 1629130620
- Type
- Individual
- Enumerated
- Dec 15, 2006
- Last Updated
- Jul 8, 2007
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