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Individual

DR. PAUL FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
479 RIVER RD, FAIR HAVEN, NJ 07704-3031
(732) 747-1224
(732) 747-0145
Mailing address
479 RIVER RD, FAIR HAVEN, NJ 07704-3031
(732) 747-1224
(732) 747-0145

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01982100
NJ

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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