Clay Cannon

NPI #1427261346 in Tyler, Texas

Provider Information

NPI Number
1427261346
Entity Type
Individual
Name
Clay Cannon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
May 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
202 SHELLEY DR
City
Tyler
State
Texas
ZIP Code
75701-8725
Phone
(903) 561-8600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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