Individual
DR. LOGAN DONALD KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
668 FAIRVIEW RD # B, SIMPSONVILLE, SC 29680-6708
(864) 626-6960
Mailing address
25 RIVER ST APT 237, GREENVILLE, SC 29601-3088
(603) 290-2195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8977
SC
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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