Heather Logue, PHDH

NPI #1104676543 in Herrick, Illinois

Provider Information

NPI Number: 1104676543
Entity Type: Individual
Name: Heather Logue, PHDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Hygienist
Credential: PHDH
Enumeration Date: Mar 26, 2024
Last Updated: Mar 26, 2024

Practice Location

Address: 402 E SOUTH 1ST ST
City: Herrick
State: Illinois
ZIP Code: 62431-1600
Phone: (217) 254-2816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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