Individual
DR. KEITH LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2772 BARTLETT BLVD, BARTLETT, TN 38134-4530
(901) 382-0581
Mailing address
2772 BARTLETT BLVD, BARTLETT, TN 38134-4530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3950
TN
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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