LOGAN MACKEY FOX DMD
Individual Provider (NPI-1)
Active
Dentist, General Practice
Provider Information
- NPI Number
1861236747- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 1097 N JACKSONMILL AVE, KUNA, ID, 836342086
- Phone
- (208) 519-7171
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D-5640