Individual
DR. LAURA ANN CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1515 W CHESTER PIKE, SUITE D-5, WEST CHESTER, PA 19382-7778
(610) 692-9697
(610) 692-8968
Mailing address
1515 W CHESTER PIKE, SUITE D-5, WEST CHESTER, PA 19382-7778
(610) 692-9697
(610) 692-8968
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-025819-L
PA
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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