Lester William Cannon, D.D.S. Valid NPI
Individual provider · Dentist · Midvale, UT
- NPI
- 1326305517
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 136458 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2012-04-12
- Last updated
- 2012-04-12
Practice location
714 Fort Union Blvd
Midvale, UT 84047-2347
(801) 277-4049