DR. Kelly-Gwynne Mason Fergus, DDS, MDS
NPI #1093979254 in Jonesboro, Arkansas
Provider Information
- NPI Number
- 1093979254
- Entity Type
- Individual
- Name
- DR. Kelly-Gwynne Mason Fergus, DDS, MDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS, MDS
- Enumeration Date
- Jul 16, 2008
- Last Updated
- Jun 2, 2015
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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