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1013116979
CHRISTOPHER M CANNON
IDAHO FALLS, ID
NPI
1013116979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: ID D4702)
Additional Taxonomies
122300000X Dentist
(Licence: CO 9460)
Enumeration Date
2007-07-12
Last Update Date
2022-07-21
Business Address
DR. CHRISTOPHER M CANNON DMD
3550 WASHINGTON PKWY
IDAHO FALLS, ID 83404-4968
Phone number: 208-524-2300
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Mailing Address
DR. CHRISTOPHER M CANNON DMD
3550 WASHINGTON PKWY
IDAHO FALLS, ID 83404-4968
Phone number: 208-524-2300
Copy
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