DR. Keith Logan, D.D.S

NPI #1669528964 in Bartlett, Tennessee

Provider Information

NPI Number
1669528964
Entity Type
Individual
Name
DR. Keith Logan, D.D.S
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S
Enumeration Date
Jan 27, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2772 BARTLETT BLVD
ZIP Code
38134-4530
Phone
(901) 382-0581

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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