Shaun Logan, D.M.D.
NPI #1144603812 in Ranchester, Wyoming
Provider Information
- NPI Number
- 1144603812
- Entity Type
- Individual
- Name
- Shaun Logan, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Jun 30, 2015
- Last Updated
- Jun 30, 2015
Practice Location
- Address
- 621 DAYTON STREET
- City
- Ranchester
- State
- Wyoming
- ZIP Code
- 82839
- Phone
- (307) 655-9810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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