MR. LOGAN COFFEE

Dentist - General Practice

Active Individual
NPI: 1164465399

Practice Address

HIGHWAY 83 SOUTH AND I-40 JUNCTION
Vian, OK 74962

Phone: (918) 773-6200

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 5317 (OK)

Frequently Asked Questions

NPI 1164465399 is the National Provider Identifier for MR. LOGAN COFFEE, a Dentist - General Practice provider located in Vian, OK. This NPI was enumerated on June 14, 2006.
MR. LOGAN COFFEE practices at HIGHWAY 83 SOUTH AND I-40 JUNCTION, Vian, OK 74962.

Quick Facts

NPI
1164465399
Type
Individual
Enumerated
Jun 14, 2006
Last Updated
Jul 8, 2007

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