Individual
MR. GANESH LOGANATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
3020 S DIXIE DRIVE, KETTERING, OH 45409
(937) 298-4221
(937) 395-3665
Mailing address
3020 S DIXIE DRIVE, KETTERING, OH 45409
(937) 298-4221
(937) 395-3665
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30019355
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909511
—
OH
Enumeration date
07/23/2006
Last updated
03/16/2020
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