Mark Smith Cannon D.M.D.

NPI 1083813810 - Dentist - 122300000X

NPI Details
NPI 1083813810
Gender Male
Enumeration Date 07/12/2007
Last Updated 07/12/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3400 ARAPAHOE AVE
BOULDER CO, 80303-1023, US
Phone (303) 444-2129
Fax (303) 413-8145
Business Location
3400 ARAPAHOE AVE
BOULDER CO, 80303-1023, US
Phone (303) 444-2129
Fax (303) 413-8145
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number 9352
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According to our database, Dr. Mark Smith Cannon D.M.D. NPI is 1083813810, taxonomy code is 122300000X and license number is 9352, license state is located at Colorado. Mark Smith Cannon D.M.D. physically located at 3400 Arapahoe Ave, Boulder CO, 80303-1023. NPI Number Mark Smith Cannon D.M.D. has the Individual type.

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1083813810 NPI number is provided on an as is basis without warranty of any kind. 1083813810 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Smith Cannon D.M.D. are for informational purposes only.