Jon L. Logullo, D.M.D

General Dentistry · Greenville, IL

Primary taxonomy

1223G0001X

Enumerated

2007-04-24

Practice location

Greenville, IL

Last NPPES update

2007-07-08

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.