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Individual

GARY C. FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
151 SILVER ST, WATERVILLE, ME 04901-5813
(207) 873-1311
(207) 873-4547
Mailing address
151 SILVER ST, WATERVILLE, ME 04901-5813
(207) 873-1311
(207) 873-4547

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
3442
ME

Other

Enumeration date
09/25/2006
Last updated
12/28/2007
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