Individual
DR. LOGAN T CLEMENTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1936 S SUMMERTON RD, MT PLEASANT, MI 48858-1109
(989) 773-9051
Mailing address
4860 FIELDSTONE LN APT 9, MT PLEASANT, MI 48858-8997
(810) 955-9711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
290102246
MI
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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