Individual
DR. FRED CORNELIUS CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6220 SW 29TH ST STE 200, TOPEKA, KS 66614-5028
(316) 322-2081
Mailing address
PO BOX 397, ANDOVER, KS 67002-0397
(316) 213-4874
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7201
KS
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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