Individual
MRS. SARA LYNN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
Mailing address
325 E INGLEWOOD DR, MOSES LAKE, WA 98837-2581
(509) 764-0782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010211
WA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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