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Organization
MICHAEL G. LOGELIN, DDS, PC
Active
Organization
MICHAEL G. LOGELIN, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GREGORY LOGELIN DDS (CEO)
(702) 889-6308
Entity
Organization
Contact information
Practice address
7603 BELMONT HILLS AVE, LAS VEGAS, NV 89131-1721
(702) 889-6308
(702) 889-6308
Mailing address
7603 BELMONT HILLS AVE, LAS VEGAS, NV 89131-1721
(702) 889-6308
(702) 889-6308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3481
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00220771
—
NV
Enumeration date
12/04/2008
Last updated
12/04/2008
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