Individual
LOGAN JOSEPH AUNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18644 W CATAWBA AVE, CORNELIUS, NC 28031-5617
(704) 896-7660
Mailing address
15535 JETTON RD, CORNELIUS, NC 28031-7419
(703) 973-0405
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13326
NC
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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