Individual
DR. LOGAN HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1850 E SELTICE WAY, POST FALLS, ID 83854-7019
(208) 777-0292
Mailing address
1850 E SELTICE WAY, POST FALLS, ID 83854-7019
(208) 777-0292
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4401
ID
122300000X
Dentist
DE 60230317
WA
Other
Enumeration date
09/07/2011
Last updated
12/31/2025
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