Individual
LOGAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7613 ESTHER CIR, FREDERICK, CO 80504-5881
(303) 848-3633
Mailing address
6173 S JACKSON GAP CT, AURORA, CO 80016-2797
(303) 748-6981
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN.00206171
CO
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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