Organization
KINNELON DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA LEE LOGAN D.M.D. (EMPLOYEE)
(973) 838-5585
Entity
Organization
Contact information
Practice address
11 KIEL AVE, KINNELON, NJ 07405-2549
(973) 838-5585
(973) 838-6258
Mailing address
11 KIEL AVE, KINNELON, NJ 07405-2549
(973) 838-5585
(973) 838-6258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02262300
NJ
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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