Individual
LOGAN MATTHEW HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6037 BESSINGER ST, FORT SILL, OK 73503-4406
(580) 442-3656
Mailing address
6037 BESSINGER ST, FORT SILL, OK 73503-4406
(580) 442-3656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00205210
CO
Other
Enumeration date
07/20/2022
Last updated
03/06/2025
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