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Organization
FOUTZ FAMILY DENTISTRY
Active
Organization
FOUTZ FAMILY DENTISTRY
Active
Other names
Grand Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN B. FOUTZ DDS (MANAGER)
(801) 319-5726
Entity
Organization
Contact information
Practice address
948 S JEFFERSON AVE, SPRINGFIELD, MO 65806-3204
(417) 865-8405
Mailing address
948 S JEFFERSON AVE, SPRINGFIELD, MO 65806-3204
(417) 865-8405
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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