Individual
DR. CHARLES RAY FERGUSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4410 PHELAN BLVD, BEAUMONT, TX 77707-2115
(409) 899-5470
(409) 899-8670
Mailing address
4410 PHELAN BLVD, BEAUMONT, TX 77707-2115
(409) 899-5470
(409) 899-8670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14048
TX
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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