Individual
DR. LOGAN KEITH CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5831 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-2521
(763) 533-8669
Mailing address
7051 DA MAR EST, SAINT PETER, MN 56082-9431
(507) 995-0326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15116
MN
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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