Sophie Logan DDS Mmsc PC
NPI #1255179636 in Santa Cruz, California
Provider Information
- NPI Number
- 1255179636
- Entity Type
- Organization
- Organization Name
- Sophie Logan DDS Mmsc PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 18, 2024
- Last Updated
- Feb 7, 2025
Practice Location
- Address
- 824 MISSION ST
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95060-3681
- Phone
- (707) 849-3113
Authorized Official
- Name
- SOPHIE LOGAN, DDS, MMSC
- Title
- ORTHODONTIST
- Phone
- (831) 531-7660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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