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Organization

PETER N CANNON DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PETER NOEL CANNON DDS PA (GENERAL DENTIST)
(651) 224-2787
Entity
Organization

Contact information

Practice address
400 ROBERT ST N, #270, SAINT PAUL, MN 55101-2015
(651) 224-2787
(651) 223-5557
Mailing address
400 ROBERT ST N, #270, SAINT PAUL, MN 55101-2015
(651) 224-2787
(651) 223-5557

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9435

Other

Enumeration date
11/23/2005
Last updated
08/22/2020
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