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Organization
GROGANS MILL DENTAL, PC
Active
Organization
GROGANS MILL DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN L FERGUSON DMD (DENTIST)
(281) 298-5225
Entity
Organization
Contact information
Practice address
25210 GROGANS MILL RD, STE A, THE WOODLANDS, TX 77380-2378
(281) 298-5225
(281) 298-5266
Mailing address
19 IVORY MOON PL, THE WOODLANDS, TX 77381-6441
(469) 713-7936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23015
TX
1223G0001X
General Practice Dentistry
4842
AL
Other
Enumeration date
08/05/2008
Last updated
09/18/2013
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