DR. Bradley Dwight Logie, DDS

NPI #1073707519 in Fort Sill, Oklahoma

Provider Information

NPI Number
1073707519
Entity Type
Individual
Name
DR. Bradley Dwight Logie, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Aug 28, 2007
Last Updated
Jan 7, 2019

Practice Location

Address
2776 RINGGOLD ROAD
Address 2
ATTN: CREDENTIALS COORDINATOR
ZIP Code
73503-6300
Phone
(580) 442-3905

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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