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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAITLYN AMINAH BROOKE LOGAN

Active Sole Proprietor

KAITLYN AMINAH BROOKE LOGAN is a Dentist healthcare provider located in LEMON GROVE, California. NPI 1922840305 is currently active in the NPPES registry. Verify at CMS.

Dentist · LEMON GROVE, CA

Registration Details

NPI Number
1922840305
Provider Type
Individual
Gender
Female
NPI Issued
Jun 7, 2024 (2.0117338903311 yrs)
Last Updated
Dec 11, 2025
License
111976 (CA)
Sole Proprietor
Yes

Practice Information

Address
7967 BROADWAY
LEMON GROVE, CA, 919451809
Browse CA providers · Browse ZIP 91945
Phone
6197413045
Primary Specialty
Dentist
122300000X

Other Dentist Providers in LEMON GROVE, CA

Name Credential NPI
DR. RICHARD ORLO CAVALLARO DDS 1326151135
DR. ANH N TRAN DDS 1427253202
STEPHANIE ANN PURA ABARTE DDS 1700180825
DR. TINA YAZDI D.D.S 1821427766
DR. MICAH MICHELLE SHAW DMD 1801516828
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.