Individual
DR. SOPHIE ELIZABETH LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MMSC
Contact information
Practice address
824 MISSION ST, SANTA CRUZ, CA 95060-3681
(831) 331-1903
Mailing address
113 TORREY PINE TER, SANTA CRUZ, CA 95060-3243
(831) 331-1903
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106072
CA
Other
Enumeration date
11/26/2019
Last updated
02/07/2025
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