Organization
DEREK THOMPSON DMD PATRICK FERGUSON DDS
Active
Other names
Apple Valley Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY L MEADOWS (FINANCE MANAGER)
(509) 457-6300
Entity
Organization
Contact information
Practice address
2100 S 14TH ST, UNION GAP, WA 98903-1252
(509) 457-6300
Mailing address
2100 S 14TH ST, UNION GAP, WA 98903-1252
(509) 457-6300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009229
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038799
—
WA
05
—
5043641
—
WA
Enumeration date
05/01/2007
Last updated
03/17/2008
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