Individual
MEGAN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7104 N FRESNO ST STE 101, FRESNO, CA 93720-2970
(559) 439-2147
Mailing address
7104 N FRESNO ST STE 101, FRESNO, CA 93720-2970
(559) 439-2147
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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