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Individual

REED F CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
106 A LONGVIEW DR, LOS ALAMOS, NM 87544-3738
(505) 672-1336
(505) 672-0840
Mailing address
106 A LONGVIEW DR, LOS ALAMOS, NM 87544-3738
(505) 672-1336
(505) 672-0840

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2899
NM

Other

Enumeration date
07/17/2007
Last updated
07/17/2007
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