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1396585980
LOGAN WEST
PHILADELPHIA, PA
NPI
1396585980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-05-30
Last Update Date
2024-05-30
Business Address
LOGAN WEST DMD
240 SOUTH 40TH STREET ROBERT SCHATTNER CENTER
PHILADELPHIA, PA 19104
Phone number: 215-898-8965
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Mailing Address
LOGAN WEST DMD
245 S 45TH ST APT B2
PHILADELPHIA, PA 19104-3597
Phone number: 602-614-5521
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