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Organization

DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC

Active
Parent organization
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Other names
Apple Valley Dental & Orthodontics
Organization subpart
Yes

Provider details

NPI number
Legal business name
DEREK THOMPSON DMD PATRICK FERGUSON DDS, PLLC
Authorized official
CATHY L MEADOWS (FINANCE MANAGER)
(509) 457-6300
Entity
Organization

Contact information

Practice address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 457-6300
(509) 248-7438
Mailing address
4309 W NOB HILL BLVD, YAKIMA, WA 98908-3971
(509) 457-6300
(509) 248-7438

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11197
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5058441
WA
Enumeration date
01/16/2009
Last updated
01/16/2009
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