Logan Mackey Fox, DMD

NPI #1861236747 in Kuna, Idaho

Provider Information

NPI Number: 1861236747
Entity Type: Individual
Name: Logan Mackey Fox, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jun 24, 2024
Last Updated: Jun 24, 2024

Practice Location

Address: 1097 N JACKSONMILL AVE
City: Kuna
State: Idaho
ZIP Code: 83634-2086
Phone: (208) 519-7171

Specialties & Taxonomy Codes

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

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