Individual
DR. MAXINE CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1049 N MACOMB ST, MONROE, MI 48162-3126
(734) 242-4334
Mailing address
1049 N MACOMB ST, MONROE, MI 48162-3126
(734) 242-4334
(734) 242-0820
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022673
MI
Other
Enumeration date
07/08/2018
Last updated
05/27/2025
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