Individual
LOGAN ALEXANDER WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
932 SPRING ST STE 102, PETOSKEY, MI 49770-2286
(231) 646-8005
Mailing address
410 W LAKE ST, PETOSKEY, MI 49770-2267
(248) 622-7434
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901601718
MI
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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