Individual
MS. ALEXANDRA ELIZABETH FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
136 PARTIN DR N, NICEVILLE, FL 32578-2054
(850) 605-0579
Mailing address
5401 TIVOLI TERRACE DRIVE, MIRAMAR BEACH, FL 32550
(256) 490-0587
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28264
FL
Other
Enumeration date
04/05/2023
Last updated
08/01/2023
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