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Organization
PATRICE FERGUSON DDS PC
Active
Organization
PATRICE FERGUSON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE DIANNA FERGUSON DDS (DENTIST)
(718) 949-1230
Entity
Organization
Contact information
Practice address
176 24A 126TH AVE, JAMAICA, NY 11434
(718) 949-1230
(718) 949-2035
Mailing address
176 24A 126TH AVE, JAMAICA, NY 11434
(718) 949-1230
(718) 949-2035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049050
NY
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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