Individual
DEAN M LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2511 TRIMMIER RD, SUITE 170, KILLEEN, TX 76542-1908
(254) 501-3234
Mailing address
105 N AUSTIN AVE APT 6103, GEORGETOWN, TX 78626-4244
(979) 285-5183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13991
TX
Other
Enumeration date
01/16/2007
Last updated
04/25/2019
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