Edward M. Logan, Dds, Lc Valid NPI

Organization · Dentist · O Fallon, MO

NPI

1851448229

Type

Organization (Type 2)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

2002002458 (MO)

Enumerated

2007-01-05

Last updated

2020-08-22