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1912963935
STANTON CANNON ALLEN
PROVIDENCE, UT
NPI
1912963935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: UT 5854224)
Enumeration Date
2006-04-26
Last Update Date
2018-02-23
Business Address
Dr. STANTON CANNON ALLEN DDS
65 N. GATEWAY DRIVE STE #1
PROVIDENCE, UT 84332-6102
Phone number: 435-787-2223
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Mailing Address
Dr. STANTON CANNON ALLEN DDS
65 N. GATEWAY DRIVE SUITE #1
PROVIDENCE, UT 84332-6102
Phone number: 435-787-2223
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