NPI | 1588794168 |
---|---|
Doing Business As | LOGMANN DENTISTRY |
Entity Type | Organization |
Authorized Contact | MATTHEW BRUCE LOGMANN Dentist/Corporate President 219-844-3635 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007813A) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2011-09-08 |