Individual
LOGAN MCGREEVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 SW HIGGINS AVE STE H, MISSOULA, MT 59803-1433
(406) 543-3159
Mailing address
1320 KELLY ISLAND CT, MISSOULA, MT 59808-1205
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-30857
MT
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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