Individual provider · Type 1 NPI

Logan West, DMD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1396585980 Active

Practice location

240 South 40th Street, Robert Schattner Center
Philadelphia, PA 19104

Call (215) 898-8965 Map

Mailing address

245 S 45th St Apt B2
Philadelphia, PA 19104-3597

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396585980

Logan West, DMD's National Provider Identifier is 1396585980, issued on May 30, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 30, 2024.