Individual
DR. BRIAN KANJI FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11065 PACIFIC CREST PL NW STE B105, SILVERDALE, WA 98383-6607
(360) 261-6154
Mailing address
11400 OLYMPUS WAY APT P101, GIG HARBOR, WA 98332-8796
(562) 676-6147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60862722
WA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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