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1851448229
EDWARD M. LOGAN, DDS, LC
O FALLON, MO
NPI
1851448229
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Entity Type
Organization
Authorized Contact
EDWARD M. LOGAN
Owner
636-561-5445
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MO 2002002458)
Enumeration Date
2007-01-05
Last Update Date
2020-08-22
Business Address
EDWARD M. LOGAN, DDS, LC
9016 PHOENIX PKWY
O FALLON, MO 63368-4278
Phone number: 636-561-5445
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Mailing Address
EDWARD M. LOGAN, DDS, LC
7 MATTERHORN CT
O FALLON, MO 63366-4804
Phone number: 314-302-7100
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