DR. Jessica Lee Logan, D.M.D.

NPI #1255499570 in Kinnelon, New Jersey

Provider Information

NPI Number: 1255499570
Entity Type: Individual
Name: DR. Jessica Lee Logan, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Dec 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 11 KIEL AVE
City: Kinnelon
State: New Jersey
ZIP Code: 07405-2549
Phone: (973) 838-4460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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