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1861989121
LOGAN MARIANO
PHOENIX, AZ
NPI
1861989121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: AZ D010364)
Enumeration Date
2018-04-21
Last Update Date
2019-07-19
Business Address
Dr. LOGAN MARIANO DMD
4383 E ROSEMONTE DR
PHOENIX, AZ 85050-3407
Phone number: 570-772-3267
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Mailing Address
Dr. LOGAN MARIANO DMD
4383 E ROSEMONTE DR
PHOENIX, AZ 85050-3407
Phone number: 570-772-3267
Copy
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