Individual
LOGAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2215 FULLER ROAD, VAMC DENTAL SERVICE (160), ANN ARBOR, MI 48105-9923
(734) 845-3528
Mailing address
2215 FULLER ROAD, VAMC DENTAL SERVICE (160), ANN ARBOR, MI 48105-9923
(734) 845-3528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021968
MI
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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