Individual
DR. MARK SMITH CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3400 ARAPAHOE AVE, BOULDER, CO 80303-1023
(303) 444-2129
(303) 413-8145
Mailing address
3400 ARAPAHOE AVE, BOULDER, CO 80303-1023
(303) 444-2129
(303) 413-8145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9352
CO
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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