DR. John C Logan, DDS

NPI #1770690810 in Casper, Wyoming

Provider Information

NPI Number: 1770690810
Entity Type: Individual
Name: DR. John C Logan, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Aug 24, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 264 S WILSON ST
City: Casper
State: Wyoming
ZIP Code: 82601-2942
Phone: (307) 234-3259

Specialties & Taxonomy Codes

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

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