Individual
DR. LOGAN RAND CURTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005
Mailing address
22632 SUMMIT DR STE B, WATERTOWN, NY 13601-7233
(315) 405-4005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7737284-9921
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
058173
NY
Other
Enumeration date
08/13/2010
Last updated
05/06/2019
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