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1760426803
MARK P LOGAN
LONGMEADOW, MA
NPI
1760426803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MA 1550)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Dr. MARK P LOGAN D.M.D.
123 DWIGHT RD
LONGMEADOW, MA 01106-1748
Phone number: 413-567-0341
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Mailing Address
Dr. MARK P LOGAN D.M.D.
123 DWIGHT RD
LONGMEADOW, MA 01106-1748
Phone number: 413-567-0341
Copy
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