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Individual

DR. LOGAN B. FOUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2344 N MERRITT CREEK LOOP, COEUR D ALENE, ID 83814-4950
(208) 676-8500
Mailing address
1482 N SKYKOMISH DR, POST FALLS, ID 83854-0221
(801) 319-5726

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5537
ID

Other

Enumeration date
04/21/2023
Last updated
06/22/2023
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