Patrice Dianna Ferguson, DDS

NPI #1174702609 in Baldwin, New York

Provider Information

NPI Number: 1174702609
Entity Type: Individual
Name: Patrice Dianna Ferguson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 770 IMPERIAL DR
City: Baldwin
State: New York
ZIP Code: 11510-4535
Phone: (516) 868-8781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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