Organization
DON LOGUE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LOGUE BBA (CHIEF FINANCIAL OFFICER)
(918) 456-3082
Entity
Organization
Contact information
Practice address
1702 PARK HILL RD, TAHLEQUAH, OK 74464-5600
(918) 456-3082
(918) 456-3536
Mailing address
1702 PARK HILL RD, TAHLEQUAH, OK 74464-5600
(918) 456-3082
(918) 456-3536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/27/2005
Last updated
08/22/2020
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