LOGAN DITTO

COEUR D ALENE, ID
NPI1013166628
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4342)
Additional Taxonomies122300000X Dentist
(Licence: WA  DE60035239)
Enumeration Date2008-09-18
Last Update Date2012-03-28
Business Address
-- LOGAN DITTO DDS
2344 N MERRITT CREEK LOOP
COEUR D ALENE, ID 83814-4950
Phone number: 208-676-8500
Mailing Address
-- LOGAN DITTO DDS
2344 N MERRITT CREEK LOOP
COEUR D ALENE, ID 83814-4950
Phone number: 208-676-8500
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