Individual
GILDA P FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12415 WHISANA LN, ASHLAND, VA 23005-7536
(804) 798-6881
(804) 798-4558
Mailing address
12415 WHISANA LN, ASHLAND, VA 23005-7536
(804) 798-6881
(804) 798-4558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006793
VA
Other
Enumeration date
03/29/2007
Last updated
09/08/2009
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