Individual
MARK HAROLD FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
241 LASHER RD, KITTANNING, PA 16201-4015
(724) 548-1243
Mailing address
2316 MAPLE DR, FORD CITY, PA 16226-1530
(724) 548-1243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS024101L
PA
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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