| NPI | 1124423462 |
|---|---|
| Former Legal Business Name | LOGMANNI DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | MANDANA GOODARZI1 LOGMANNI Owner/President 301-869-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MD 13266) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |