Organization
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Active
Parent organization
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Other names
Apple Valley Dental & Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Authorized official
DR. DEREK THOMPSON (OWNER)
(509) 823-4480
Entity
Organization
Contact information
Practice address
3217 PICARD PL, SUNNYSIDE, WA 98944-8400
(509) 823-4480
(509) 823-4488
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 823-4480
(509) 823-4488
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5058441
—
WA
Enumeration date
05/12/2011
Last updated
05/12/2011
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