Individual
DR. LOGAN ELI LASSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1401 KINGS HWY N, CHERRY HILL, NJ 08034-2306
(856) 795-8080
(856) 795-6276
Mailing address
1401 KINGS HWY N, CHERRY HILL, NJ 08034-2306
(856) 795-8080
(856) 795-6276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02980800
NJ
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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