Individual
LOGAN VEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2105 PINE ST, HARLAN, IA 51537-1850
(407) 755-5342
Mailing address
2105 PINE ST, HARLAN, IA 51537-1850
(407) 755-5342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS-09183
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043443260
—
IA
Enumeration date
05/26/2015
Last updated
05/26/2015
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