Ferguson Dental LLC

NPI #1184913295 in Ferguson, Missouri

Provider Information

NPI Number
1184913295
Entity Type
Organization
Organization Name
Ferguson Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 30, 2011
Last Updated
Mar 30, 2011

Practice Location

Address
46 S FLORISSANT RD
ZIP Code
63135-2334
Phone
(314) 522-6300

Authorized Official

Name
DR. VICTOR L CLARK, D.M.D.
Title
DENTIST/OWNER
Phone
(314) 522-6300

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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