Individual
DANE KENT LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
23603 JEB DRIVE, LAWRENCEBURG, IN 47025
(812) 637-3276
(812) 637-3276
Mailing address
23603 JEB DRIVE, LAWRENCEBURG, IN 47025
(812) 637-3276
(812) 637-3276
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7715
IN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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