Individual
DR. LOGAN CHARLES MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3237 SIXES RD, CANTON, GA 30114-7965
(678) 880-9775
Mailing address
3237 SIXES RD, CANTON, GA 30114-7965
(678) 880-9775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123081
GA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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