Edward M. Logan, DDS, Lc
Edward M. Logan, DDS, Lc is a Dentist in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
9016 Phoenix PkwyO Fallon, MO 63368-4278
Phone: (636) 561-5445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 2002002458 (MO) |
|---|
Record details
| NPI number | 1851448229 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Logan — Owner · (636) 561-5445 |
| NPI enumerated | January 5, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 7 Matterhorn Ct, O Fallon, MO 63366-4804 |
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