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Individual

JOHN LOGSDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
997 W BROADWAY ST, OVIEDO, FL 32765-9264
(407) 890-9116
Mailing address
997 W BROADWAY ST, OVIEDO, FL 32765-9264
(407) 890-9116

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN22305
FL

Other

Enumeration date
02/09/2016
Last updated
06/24/2024
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