| NPI | 1497562276 |
|---|---|
| Doing Business As | CANNON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAXINE ELAINE CANNON Owner 734-787-8975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-19 |