Individual
DR. STANTON CANNON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
65 N. GATEWAY DRIVE, STE #1, PROVIDENCE, UT 84332-6102
(435) 787-2223
(435) 752-9296
Mailing address
65 N. GATEWAY DRIVE, SUITE #1, PROVIDENCE, UT 84332-6102
(435) 787-2223
(435) 752-9296
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5854224
UT
Other
Enumeration date
04/26/2006
Last updated
02/23/2018
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