RICKY WARNER LOGAN

MONTGOMERY, AL
NPI1629242441
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  4104)
Enumeration Date2008-04-14
Last Update Date2008-04-14
Business Address
Dr. RICKY WARNER LOGAN DMD
4711 ATLANTA HWY
MONTGOMERY, AL 36109-3240
Phone number: 334-272-6880
Mailing Address
Dr. RICKY WARNER LOGAN DMD
4711 ATLANTA HWY
MONTGOMERY, AL 36109-3240
Phone number: 334-272-6880
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