Organization
EAGLES LANDING DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICKA SHELLY LOWE FERGUSON DMD (OWNER)
(407) 451-7098
Entity
Organization
Contact information
Practice address
380 SEMORAN COMMERCE PL STE B204, APOPKA, FL 32703-4684
(352) 696-6884
(407) 814-3798
Mailing address
380 SEMORAN COMMERCE PL STE B204, APOPKA, FL 32703-4684
(352) 696-6884
(407) 814-3798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/08/2021
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