LOGAN A MALLICOAT

KANSAS CITY, MO
NPI1871155747
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MO  2019024183)
Enumeration Date2019-07-01
Last Update Date2019-07-01
Business Address
Dr. LOGAN A MALLICOAT DDS
209 NE BARRY RD
KANSAS CITY, MO 64155-2721
Phone number: 816-454-6443
Mailing Address
Dr. LOGAN A MALLICOAT DDS
715 ARMOUR RD APT 112
KANSAS CITY, MO 64116-3637
Phone number: 913-972-7545