Individual
LOGAN MATHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9915 W MCDOWELL RD, AVONDALE, AZ 85392-4896
(623) 907-4562
Mailing address
9915 W MCDOWELL RD, AVONDALE, AZ 85392-4896
(623) 907-4562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D012603
AZ
Other
Enumeration date
08/06/2025
Last updated
08/18/2025
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