DR. Charles Ray Ferguson JR., DDS

NPI #1720100282 in Beaumont, Texas

Provider Information

NPI Number
1720100282
Entity Type
Individual
Name
DR. Charles Ray Ferguson JR., DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Apr 4, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
4410 PHELAN BLVD
State
Texas
ZIP Code
77707-2115
Phone
(409) 899-5470

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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