Individual
DR. LOGAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3600 FOREST DR STE 102, COLUMBIA, SC 29204-4057
(803) 787-4900
Mailing address
106 SONNING RD, IRMO, SC 29063-2507
(815) 757-0075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10828
SC
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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