Cannon, Carla Denise

Cannon, Carla Denise is an individual health care provider with primary practice located at 14030 Chadron Ave Apt 219 , Hawthorne CA 90250-8247. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Cannon, Carla Denise can be contacted via phone (424) 789-4665.

Contact Information

Primary practice address
14030 Chadron Ave Apt 219 Hawthorne CA 90250-8247
Phone: (424) 789-4665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 38996 California

Profile Details

NPI number 1992350359
LBN Legal business name Cannon, Carla Denise
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2019
Last updated Aug 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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