Individual
DR. LOGAN REAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1227 WILLOW CREEK RD, PRESCOTT, AZ 86301-1427
(928) 778-6684
Mailing address
1285 PINECONE TER, PRESCOTT, AZ 86303-6301
(928) 778-6684
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012162
AZ
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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