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1366933087
CHRISTOPHER R LOGAN
AUGUSTA, ME
NPI
1366933087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ME DEN4625)
Enumeration Date
2018-05-29
Last Update Date
2018-05-29
Business Address
CHRISTOPHER R LOGAN DMD
137 WESTERN AVE
AUGUSTA, ME 04330-7236
Phone number: 207-622-3879
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Mailing Address
CHRISTOPHER R LOGAN DMD
137 WESTERN AVE
AUGUSTA, ME 04330-7236
Phone number: 207-622-3879
Copy
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