Individual
LYDIA KATE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, EPP
Contact information
Practice address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 500-0959
Mailing address
810 SILVER CREEK DR APT 10, CENTRAL POINT, OR 97502-2115
(541) 733-7121
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8976
OR
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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