Individual
LOGAN DITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2344 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
Mailing address
2344 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4342
ID
122300000X
Dentist
DE60035239
WA
Other
Enumeration date
09/18/2008
Last updated
03/28/2012
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