Individual
DR. JERI A. LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8064 W JEWELL AVE UNIT 100, LAKEWOOD, CO 80232-6710
(303) 985-3624
Mailing address
2024 S UTICA ST, DENVER, CO 80219-5031
(303) 748-2971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN.00204091
CO
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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