Individual
DR. DONDRA ALEXIS FERGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
36000 SHOEMAKER LANE, SUITE 1051, FORT CAVAZOS, TX 76544
(254) 287-2705
Mailing address
3701 ROSEWOOD DR APT 236, KILLEEN, TX 76542-7017
(678) 598-0185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122819
GA
Other
Enumeration date
07/26/2022
Last updated
08/14/2023
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