Logan Pdc Pllc

NPI #1457801078 in Logan, Utah

Provider Information

NPI Number
1457801078
Entity Type
Organization
Organization Name
Logan Pdc Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 6, 2016
Last Updated
Jul 2, 2021

Practice Location

Address
167 E 200 N
Address 2
STE 3
City
Logan
State
Utah
ZIP Code
84321-4049
Phone
(435) 752-3689

Authorized Official

Name
JACOB WARNER
Title
CREDENTIALING MANAGER
Phone
(801) 691-1701

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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