Individual
DR. ROBERT CLAYTON CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8950 MAIN STREET, SUITE 120, WOODSTOCK, GA 30188
(770) 926-4447
Mailing address
8950 MAIN STREET, SUITE 120, WOODSTOCK, GA 30188
(770) 926-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014593
GA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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