DR. Michelle Lynn Cannon, DDS
NPI #1629305065 in Michigan City, Indiana
Provider Information
- NPI Number
- 1629305065
- Entity Type
- Individual
- Name
- DR. Michelle Lynn Cannon, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Nov 5, 2009
- Last Updated
- May 10, 2012
Practice Location
- Address
- 710 FRANKLIN ST
- Address 2
- SUITE 200
- City
- Michigan City
- State
- Indiana
- ZIP Code
- 46360-3563
- Phone
- (219) 872-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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