Anita Ferguson

NPI #1265292395 in Maywood, Illinois

Provider Information

NPI Number
1265292395
Entity Type
Individual
Name
Anita Ferguson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 19, 2024
Last Updated
May 28, 2024

Practice Location

Address
2160 S 1ST AVE
ZIP Code
60153-3328
Phone
(708) 327-3041

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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