Individual
DR. BRUCE ALAN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MAGD
Contact information
Practice address
22910 CRENSHAW BLVD, SUITE D, TORRANCE, CA 90505-3060
(310) 534-1809
(310) 539-1079
Mailing address
22910 CRENSHAW BLVD, SUITE D, TORRANCE, CA 90505-3060
(310) 534-1809
(310) 539-1079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34992
CA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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