| Christopher R Logan, Dmd, P.c. | |
|
137 Western Ave Augusta ME 04330-7236 | |
| (207) 622-3879 | |
| Not Available |
| Full Name | Christopher R Logan, Dmd, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 137 Western Ave, Augusta, Maine |
| Authorized Official Name and Position | Christopher R Logan (PRESIDENT) |
| Authorized Official Contact | 2076223879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher R Logan, Dmd, P.c. 137 Western Ave Augusta ME 04330-7236 Ph: (207) 622-3879 | Christopher R Logan, Dmd, P.c. 137 Western Ave Augusta ME 04330-7236 Ph: (207) 622-3879 |
| NPI Number | 1033602388 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 06/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033602388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DEN4625 (Maine) | Primary |
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