BRADLEY DWIGHT LOGIE

FORT SILL, OK
NPI1073707519
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: MI  L117008)
Enumeration Date2007-08-28
Last Update Date2019-01-07
Business Address
Dr. BRADLEY DWIGHT LOGIE DDS
2776 RINGGOLD ROAD ATTN: CREDENTIALS COORDINATOR
FORT SILL, OK 73503-6300
Phone number: 580-442-3905
Mailing Address
Dr. BRADLEY DWIGHT LOGIE DDS
PO BOX 268819
OKLAHOMA CITY, OK 73126-8819
Phone number: 269-556-9398
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