Individual
DR. MELISSA ANNE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1406
Mailing address
99 POND AVE APT 702, BROOKLINE, MA 02445-7118
(857) 334-9231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858680
MA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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