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Organization
SOPHIE LOGAN DDS MMSC PC
Active
Organization
SOPHIE LOGAN DDS MMSC PC
Active
Other names
Sea Glass Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIE LOGAN DDS, MMSC (ORTHODONTIST)
(831) 531-7660
Entity
Organization
Contact information
Practice address
824 MISSION ST, SANTA CRUZ, CA 95060-3681
(707) 849-3113
Mailing address
115 SEGRE PL, SANTA CRUZ, CA 95060-3160
(831) 331-1903
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
02/07/2025
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