Ditto, Logan

Ditto, Logan is an individual health care provider with primary practice located at 2344 N Merritt Creek Loop , Coeur D Alene ID 83814-4950. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ditto, Logan can be contacted via phone (208) 676-8500.

Contact Information

Primary practice address
2344 N Merritt Creek Loop Coeur D Alene ID 83814-4950
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60035239 Washington
Dental Providers / Dentist 122300000X D-4342 Idaho

Profile Details

NPI number 1013166628
LBN Legal business name Ditto, Logan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2008
Last updated Mar 28th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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