Individual
DR. JESSICA LEE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
11 KIEL AVE, KINNELON, NJ 07405-2549
(973) 838-4460
(973) 838-6258
Mailing address
911 CASTLE POINT TER, APT. #2, HOBOKEN, NJ 07030-5908
(201) 618-0623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02262300
NJ
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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