Kaitlyn Aminah Brooke Logan
NPI #1922840305 in Lemon Grove, California
Provider Information
- NPI Number
- 1922840305
- Entity Type
- Individual
- Name
- Kaitlyn Aminah Brooke Logan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Jun 7, 2024
- Last Updated
- Dec 11, 2025
Practice Location
- Address
- 7967 BROADWAY
- City
- Lemon Grove
- State
- California
- ZIP Code
- 91945-1809
- Phone
- (619) 741-3045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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