| Sophie Logan Dds Mmsc Pc | |
|
824 Mission St Santa Cruz CA 95060-3681 | |
| (707) 849-3113 | |
| Not Available |
| Full Name | Sophie Logan Dds Mmsc Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 824 Mission St, Santa Cruz, California |
| Authorized Official Name and Position | Sophie Logan (ORTHODONTIST) |
| Authorized Official Contact | 8313311903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophie Logan Dds Mmsc Pc 115 Segre Pl Santa Cruz CA 95060-3160 Ph: (831) 331-1903 | Sophie Logan Dds Mmsc Pc 824 Mission St Santa Cruz CA 95060-3681 Ph: (707) 849-3113 |
| NPI Number | 1255179636 |
|---|---|
| Provider Enumeration Date | 07/18/2024 |
| Last Update Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255179636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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