Individual
DR. DOUGLAS NORMAN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1844 LEMONWOOD ST, LA VERNE, CA 91750-2113
(909) 392-9671
Mailing address
1844 LEMONWOOD ST., LA VERNE, CA 91750
(909) 392-9671
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
19925
CA
Other
Enumeration date
05/16/2007
Last updated
03/12/2008
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