JOHN C LOGAN

CASPER, WY
NPI1770690810
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WY  493)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
Dr. JOHN C LOGAN dds
264 S WILSON ST
CASPER, WY 82601-2942
Phone number: 307-234-3259
Mailing Address
Dr. JOHN C LOGAN dds
264 S WILSON ST
CASPER, WY 82601-2942
Phone number: 307-234-3259