Oral and Maxillofacial Surgery

NPI #1588986525 in Medford, Oregon

Provider Information

NPI Number
1588986525
Entity Type
Organization
Organization Name
Oral and Maxillofacial Surgery
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 18, 2010
Last Updated
Jul 17, 2020

Practice Location

Address
3162 STATE ST
State
Oregon
ZIP Code
97504-8450
Phone
(541) 779-7799

Authorized Official

Name
BRUCE S LOGAN, DDS
Title
OWNER
Phone
(541) 779-7799

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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Provider Name
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