Individual
DR. TRISTIN LOGAN GLOSSIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8517 PRESTON HWY, LOUISVILLE, KY 40219-5301
(502) 966-4367
Mailing address
1764 GOLDENROD CT, LEBANON, OH 45036-4067
(513) 292-3594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10971
KY
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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