Organization
ALLIANCE FAMILY DENTAL, LLC
Active
Other names
ALLIANCE FAMILY DENTAL, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CADE M CANNON DDS (OWNER)
(308) 762-6131
Entity
Organization
Contact information
Practice address
916 W 10TH ST, ALLIANCE, NE 69301-2858
(308) 762-6131
(308) 762-6132
Mailing address
916 WEST 10TH ST., ALLIANCE, NE 69301-2858
(308) 762-6131
(308) 762-6132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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