Logan Oral Surgery
NPI #1598024341 in North Logan, Utah
Provider Information
- NPI Number
- 1598024341
- Entity Type
- Organization
- Organization Name
- Logan Oral Surgery
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- May 15, 2012
- Last Updated
- Apr 28, 2014
Practice Location
- Address
- 3125 N. MAIN STREET
- Address 2
- STE #103
- City
- North Logan
- State
- Utah
- ZIP Code
- 84341-1550
- Phone
- (435) 754-7130
Authorized Official
- Name
- DR. SCOTT MATSON, D.M.D.
- Title
- OWNER
- Phone
- (435) 754-7130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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