Individual
DR. KEVIN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
110 S 17TH ST, DENTAL DEPT., HARRISBURG, PA 17104-1123
(717) 231-5761
Mailing address
1338 QUAIL HOLLOW RD, HUMMELSTOWN, PA 17036-8559
(570) 850-4041
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS030353L
PA
Other
Enumeration date
09/08/2005
Last updated
04/17/2013
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