Individual
DR. LOGAN CHASE PASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(801) 889-9271
Mailing address
103 N MACON TER, ASHLAND, VA 23005-1222
(801) 889-9271
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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