DR. Fred Cornelius Cannon

NPI #1093586190 in Topeka, Kansas

Provider Information

NPI Number
1093586190
Entity Type
Individual
Name
DR. Fred Cornelius Cannon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Jan 9, 2024
Last Updated
Jan 9, 2024

Practice Location

Address
6220 SW 29TH ST STE 200
City
Topeka
State
Kansas
ZIP Code
66614-5028
Phone
(316) 322-2081

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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