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Organization

MAXINE CANNON DDS, PLLC

Active
Other names
Cannon Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAXINE ELAINE CANNON DDS (OWNER)
(734) 787-8975
Entity
Organization

Contact information

Practice address
1049 N MACOMB ST, MONROE, MI 48162-3126
(734) 242-4334
Mailing address
1790 EDSEL ST, TRENTON, MI 48183-1836
(734) 787-8975

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
12/16/2024
Last updated
12/19/2024
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