Individual
DR. MATTHEW L. LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
170 WAMPLERS LAKE RD, BROOKLYN, MI 49230-9585
(517) 592-3857
(517) 592-5787
Mailing address
170 WAMPLERS LAKE RD, BROOKLYN, MI 49230-9585
(517) 592-3857
(517) 592-5787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901014195
MI
1223G0001X
General Practice Dentistry
Primary
2901014195
MI
Other
Enumeration date
08/02/2006
Last updated
02/10/2025
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