Organization
CHRISTOPHER R LOGAN, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER R LOGAN DMD (PRESIDENT)
(207) 622-3879
Entity
Organization
Contact information
Practice address
137 WESTERN AVE, AUGUSTA, ME 04330-7236
(207) 622-3879
Mailing address
137 WESTERN AVE, AUGUSTA, ME 04330-7236
(207) 622-3879
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN4625
ME
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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