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Individual

DR. DAVID BURTON FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1706 GREYSTONE RDG, SAN ANTONIO, TX 78258-4506
(210) 683-6353
Mailing address
1706 GREYSTONE RDG, SAN ANTONIO, TX 78258-4506
(210) 683-6353

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24904
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
076568600
FL
05
691278896
FL
Enumeration date
01/29/2007
Last updated
01/23/2020
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