Individual
DR. LOGAN LOUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1221 CHAPIN RD STE A, CHAPIN, SC 29036-7142
(803) 994-8188
Mailing address
2211 TRADE ST, WEST COLUMBIA, SC 29169-7683
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.10861
SC
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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