Organization
CELEBRACES GLADSTONE FERGUSON DDS LLC
Active
Other names
Celebrate Dental & Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID B FERGUSON DDS, CAGS (OWNER)
(210) 451-0000
Entity
Organization
Contact information
Practice address
319 NE VIVION RD, KANSAS CITY, MO 64118-4510
(210) 451-0000
Mailing address
319 NE VIVION RD, KANSAS CITY, MO 64118-4510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2008028696
MO
Other
Enumeration date
11/10/2016
Last updated
01/13/2017
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