| NPI | 1336693506 |
|---|---|
| Doing Business As | LOGANVILLE DENTIST OFFICE |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN Owner 404-720-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |