Individual
DR. MICHAEL GRAY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
200 REPUBLIC AVE, SUITE I, LAFAYETTE, LA 70508-6826
(337) 988-1870
(337) 988-1809
Mailing address
200 REPUBLIC AVE, SUITE I, LAFAYETTE, LA 70508-6826
(337) 988-1870
(337) 988-1809
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5243
LA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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