EDWARD M. LOGAN

O FALLON, MO
NPI1669670980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2002002458)
Enumeration Date2007-07-08
Last Update Date2007-07-08
Business Address
-- EDWARD M. LOGAN DDS
9016 PHOENIX PKWY
O FALLON, MO 63368-4278
Phone number: 636-561-5445
Mailing Address
-- EDWARD M. LOGAN DDS
7 MATTERHORN CT
O FALLON, MO 63366-4804
Phone number:
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