Logan Ditto, DDS
NPI #1013166628 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1013166628
- Entity Type
- Individual
- Name
- Logan Ditto, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 18, 2008
- Last Updated
- Mar 28, 2012
Practice Location
- Address
- 2344 N MERRITT CREEK LOOP
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-4950
- Phone
- (208) 676-8500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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