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Individual

DR. PATRICK RYAN FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1 JARRETT WHITE RD BLDG 320, ATTN: MCDS-PA, TRIPLER AMC, HI 96859-5001
(808) 433-5303
(808) 433-9194
Mailing address
1 JARRETT WHITE RD BLDG 320, ATTN: MCDS-PA, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5303
(808) 433-9194

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61875
CA

Other

Enumeration date
04/25/2013
Last updated
12/01/2015
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