Logan Dental Assoicates

NPI #1477658151 in Logan, Utah

Provider Information

NPI Number: 1477658151
Entity Type: Organization
Organization Name: Logan Dental Assoicates
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 40 W. CACHE VALLEY BLVD
Address 2: SUITE 2A
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 787-8207

Authorized Official

Name: PAUL EDWARD HARRIS, DDS
Title: OWNER / DENTIST
Phone: (435) 787-8207

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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