Individual
LOGAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8435 STATION ST, MENTOR, OH 44060-4924
(440) 255-3111
Mailing address
6151 CUMBERLAND CT, MENTOR, OH 44060-2448
(419) 308-7292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026132
OH
Other
Enumeration date
05/19/2020
Last updated
06/17/2020
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