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Individual
LOGAN CECIL
Active
Individual
LOGAN CECIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDHAP
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
27550
CA
124Q00000X
Dental Hygienist
HAP961
CA
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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