DAVID GRANT LOGAN

JUNEAU, AK
NPI1780891762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: AK  AK698)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- DAVID GRANT LOGAN DDS
2237 JORDAN AVE
JUNEAU, AK 99801-8050
Phone number: 907-780-6066
Mailing Address
-- DAVID GRANT LOGAN DDS
2237 JORDAN AVE
JUNEAU, AK 99801-8050
Phone number: 907-780-6066