Individual
DAWN FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
652 HAMILTON RD., USA DENTAL ACTIVITY, FORT SILL, OK 73503
(580) 442-3905
(580) 442-4002
Mailing address
407 N WALNUT AVE, CACHE, OK 73527-9647
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3207
OK
Other
Enumeration date
06/23/2016
Last updated
08/19/2016
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