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1467678938
GRANT B. CANNON
SALT LAKE CITY, UT
NPI
1467678938
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT 133953)
Enumeration Date
2007-04-17
Last Update Date
2021-11-11
Business Address
Dr. GRANT B. CANNON D.D.S., M.D.
4190 HIGHLAND DR SUITE 112
SALT LAKE CITY, UT 84124-2600
Phone number: 801-272-9241
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Mailing Address
Dr. GRANT B. CANNON D.D.S., M.D.
4190 HIGHLAND DR SUITE 112
SALT LAKE CITY, UT 84124-2600
Phone number: 801-272-9241
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