Logan Ali Bouker, DMD

NPI #1154166536 in Livingston, Texas

Provider Information

NPI Number: 1154166536
Entity Type: Individual
Name: Logan Ali Bouker, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 27, 2024
Last Updated: Jun 27, 2024

Practice Location

Address: 117 SOUTHPOINT LOOP STE 400
City: Livingston
State: Texas
ZIP Code: 77351-8899
Phone: (128) 181-2195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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