Individual
DR. DAVID ROBERT LOGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
934 KAPAHULU AVE, SUITE 204, HONOLULU, HI 96816-1491
(808) 734-1512
(808) 734-1512
Mailing address
934 KAPAHULU AVE, SUITE 204, HONOLULU, HI 96816-1491
(808) 734-1512
(808) 734-1512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-1775
HI
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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