STANTON CANNON ALLEN

PROVIDENCE, UT
NPI1912963935
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: UT  5854224)
Enumeration Date2006-04-26
Last Update Date2018-02-23
Business Address
Dr. STANTON CANNON ALLEN DDS
65 N. GATEWAY DRIVE STE #1
PROVIDENCE, UT 84332-6102
Phone number: 435-787-2223
Mailing Address
Dr. STANTON CANNON ALLEN DDS
65 N. GATEWAY DRIVE SUITE #1
PROVIDENCE, UT 84332-6102
Phone number: 435-787-2223