Individual
DR. KELLY-GWYNNE MASON FERGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MDS
Contact information
Practice address
2812 HARRISBURG RD, JONESBORO, AR 72401-6081
(870) 336-3366
(870) 336-3360
Mailing address
2812 HARRISBURG RD, JONESBORO, AR 72401-6081
(870) 336-3366
(870) 336-3360
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3659
AR
Other
Enumeration date
07/16/2008
Last updated
06/02/2015
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