Individual
DR. JEFFREY C LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
124 S MAIN ST, POLAND, OH 44514
(330) 757-2424
(330) 757-2331
Mailing address
124 S MAIN ST, POLAND, OH 44514
(330) 757-2424
(330) 757-2331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3009081
OH
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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