DR. Melissa Tini Ngo Logan, D.M.D.

NPI #1124344288 in Lakewood, Colorado

Provider Information

NPI Number: 1124344288
Entity Type: Individual
Name: DR. Melissa Tini Ngo Logan, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Apr 14, 2010
Last Updated: Feb 7, 2019

Practice Location

Address: 7650 W VIRGINIA AVE UNIT A
City: Lakewood
State: Colorado
ZIP Code: 80226-3131
Phone: (561) 254-5404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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