MARK P LOGAN

LONGMEADOW, MA
NPI1760426803
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: MA  1550)
Enumeration Date2006-06-16
Last Update Date2007-07-08
Business Address
Dr. MARK P LOGAN D.M.D.
123 DWIGHT RD
LONGMEADOW, MA 01106-1748
Phone number: 413-567-0341
Mailing Address
Dr. MARK P LOGAN D.M.D.
123 DWIGHT RD
LONGMEADOW, MA 01106-1748
Phone number: 413-567-0341