Individual
DR. BRUCE ROBERT FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4874 MONTROSE, OKEMOS, MI 48864-1618
(517) 349-3110
(517) 349-4693
Mailing address
4874 MONTROSE, OKEMOS, MI 48864-1618
(517) 349-3110
(517) 349-4693
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901010664
MI
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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